Organization Active NPI

Arden Courts of Glen Ellyn Il LLC

Doing business as Arden Courts of Glen Ellyn

  • Assisted Living Facility
  • Glen Ellyn, IL
National Provider Identifier
1639327737
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ARDEN COURTS OF GLEN ELLYN IL LLC
Doing business as
Arden Courts of Glen Ellyn
Practice address
2 South 706 Park Blvd
Glen Ellyn, IL 60137
Phone
(630) 469-5500
Fax
(630) 469-5900
NPI assigned
Sep 3, 2008
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mr. Barry A Lazarus
Title
Vice President-Reimbursements
Phone
(419) 252-5541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2 South 706 Park Blvd
Glen Ellyn, IL 60137

Mailing address

333 N Summit St
Attn Barry a Lazarus
Toledo, OH 43604-1531
Phone (419) 252-5541

Other names 1

  • Arden Courts of Glen Ellyn Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0977186Arden Courts of Glen Ellyn2 South 706 Park Boulevard, Glen Ellyn, IL 60137Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1639327737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN BARRY A LAZARUS",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5541",
            "fax_number": "419-254-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SOUTH 706 PARK BLVD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "630-469-5500",
            "fax_number": "630-469-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN COURTS OF GLEN ELLYN IL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT-REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arden Courts of Glen Ellyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.