Algonquin Senior Living Leaseco, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALGONQUIN SENIOR LIVING LEASECO, LLC

Doing business as

Clarendale of Algonquin

Practice address

2001 W Algonquin Rd
Algonquin, IL 60102-1300

Phone

(847) 458-6800

Fax

(847) 984-1895

NPI assigned

Aug 30, 2023

Last updated

Aug 30, 2023By 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

Mr. Joel D. Nelson

Title

Member

Phone

(515) 875-4500

Specialties & licenses 1

Addresses

Other names 1

• Clarendale of Algonquin Doing business as

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1639954241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LOCUST ST STE 820",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092334",
            "telephone_number": "515-381-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021300",
            "telephone_number": "847-458-6800",
            "fax_number": "847-984-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALGONQUIN SENIOR LIVING LEASECO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "515-875-4500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarendale of Algonquin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Algonquin, IL
• Providers in Algonquin, 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 Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.