Alden of Old Town West, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0042077 Issued in IL

Legal business name

ALDEN OF OLD TOWN WEST, INC.

Practice address

118 S Bloomingdale Rd
Bloomingdale, IL 60108-1239

Phone

(630) 671-1660

Fax

(630) 671-0457

NPI assigned

Oct 6, 2005

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

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G368

Legal name

ALDEN OF OLD TOWN WEST

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Sep 9, 1998

Last certification

Sep 27, 2024

Beds

16

Ownership / control type

Private (non-profit)

Facility address

118 South Bloomingdale Road
Bloomingdale, IL 60108

Tax ID family

Alden of Old Town West 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 of Old Town West, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bloomingdale, IL
  • NPI 1932564762
  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": "1588652317",
    "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": "118 S BLOOMINGDALE RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081239",
            "telephone_number": "630-671-1660",
            "fax_number": "630-671-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN OF OLD TOWN WEST, 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": "0042077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Albin, O.D.
• Alden Gardens of Bloomingdale Limited Partnership
• Alden Gardens of Bloomingdale, Inc.
• Alden of Old Town East, Inc.
• Alden of Old Town East, Inc.
• Alden of Old Town West, Inc.
• Alden Springs, Inc
• Alden Springs, Inc.
• Alden Trails, Inc.
• Alden Trails, 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.