Generations at Applewood, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GENERATIONS AT APPLEWOOD, LLC

Practice address

21020 Kostner Ave
Matteson, IL 60443-2068

Phone

(708) 747-1300

Fax

(708) 747-6282

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Winter, CPA

Title

Cfo

Phone

(847) 674-5200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1861256489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21020 KOSTNER AVE",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432068",
            "telephone_number": "708-747-1300",
            "fax_number": "708-747-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 KOSTNER AVE",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432068",
            "telephone_number": "708-747-1300",
            "fax_number": "708-747-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS AT APPLEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-674-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamie A. Gales
• Fernando J Garcia, PHARMD
• Debbie Gardner
• Janet Marie Gardner, LCSW
• Generations at Applewood, LLC
• Jennifer M Gerry
• Mary E Gibson, APN
• Gifted Hands Home Healthcare Inc.
• Monika Gil, OD
• Tashanna Gillenwater, ED.D

• Durable Medical Equipment & Medical Supplies in Matteson, IL
• Providers in Matteson, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.