Alden Trails, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0042051 Issued in IL

Legal business name

ALDEN TRAILS, INC.

Practice address

273 E Army Trail Rd
Bloomingdale, IL 60108-2135

Phone

(630) 671-1990

Fax

(630) 529-9614

NPI assigned

Oct 6, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Floyd A Schlossberg

Title

President

Phone

(773) 286-6622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578551313. Details of each certification follow.

• CCN 14G370 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G370

Legal name

ALDEN TRAILS

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Aug 20, 1998

Last certification

Aug 29, 2024

Beds

16

Ownership / control type

Private (proprietary)

Facility address

273 Army Trail Road
Bloomingdale, IL 60108

Tax ID family

Alden Trails Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alden Trails, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bloomingdale, IL
  • NPI 1831554534
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578551313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE",
            "address_2": "SUITE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466074",
            "telephone_number": "773-286-6622",
            "fax_number": "773-286-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E ARMY TRAIL RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082135",
            "telephone_number": "630-671-1990",
            "fax_number": "630-529-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN TRAILS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOSSBERG",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-286-6622"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0042051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alden of Old Town East, Inc.
• Alden of Old Town West, Inc.
• Alden of Old Town West, Inc.
• Alden Springs, Inc
• Alden Springs, Inc.
• Alden Trails, Inc.
• Alden Valley Ridge Rehab. and Health Care Center, Inc.
• Alden Village Health Facility for Children and Young Adults, Inc.
• Alden Village Health for Children and Young Adults, Inc.
• Alden-Valley Ridge Rehabilitation and Health Care Center, Inc.

• Intellectual Disabilities Intermediate Care Facility in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Intellectual Disabilities Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.