Organization Active NPI

Alden Gardens of Waterford LLC

  • Assisted Living Facility
  • Aurora, IL
National Provider Identifier
1740933217
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ALDEN GARDENS OF WATERFORD LLC
Practice address
1955 Randi Dr
Aurora, IL 60504-4845
Phone
(630) 851-1880
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
John Avelino
Title
Accounts Receivable Manager
Phone
(773) 724-6376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1955 Randi Dr
Aurora, IL 60504-4845

Mailing address

4200 W Peterson Ave Ste 140
Chicago, IL 60646-6819

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
14D2194149Alden Gardens of Waterford, L L C1955 Randi Drive, Aurora, IL 60504Certificate of waiverSep 28, 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": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1740933217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W PETERSON AVE STE 140",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 RANDI DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044845",
            "telephone_number": "630-851-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN GARDENS OF WATERFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "AVELINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "773-724-6376"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.