Heritage Woods of Dekalb

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE WOODS OF DEKALB

Practice address

2626 N Annie Glidden Rd
Dekalb, IL 60115-1106

Phone

(815) 787-6500

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Kristine Decker

Title

Administrator

Phone

(815) 787-6500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1629229414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N ANNIE GLIDDEN RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N ANNIE GLIDDEN RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151106",
            "telephone_number": "815-787-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WOODS OF DEKALB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-787-6500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jean Heller
• Leslie Anne Hendrickson, LCSW, CADC
• Nicholas Henkel
• Jamie Lynn Henrikson, LCPC
• Rebecca Herbig
• Maria Hernandez-Trinidad
• Desiree C Hernandez, OTR/L
• Isis Vanessa Hernandez
• Alexis Herod
• Aleajndra Herrera

• Assisted Living Facility in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.