Pathway la Grange Property Owner, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PATHWAY LA GRANGE PROPERTY OWNER, LLC

Doing business as

Aspired Living of La Grange

Practice address

35 Shawmut Ave
La Grange, IL 60525-8648

Phone

(708) 206-9899

NPI assigned

Jan 6, 2022

Last updated

Jan 6, 2022By 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

Kristenj Becht

Title

Risk Manager

Phone

(312) 837-0710

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aspired Living of La Grange Doing business as

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fanor Benavidez

  • Occupational Therapy Assistant
  • La Grange, IL
  • NPI 1316793011
  NPD

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1881355345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S RIVERSIDE PLZ FL 20",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065808",
            "telephone_number": "312-837-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 SHAWMUT AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605258648",
            "telephone_number": "708-206-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY LA GRANGE PROPERTY OWNER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "BECHT",
        "authorized_official_first_name": "KRISTENJ",
        "authorized_official_title_or_position": "RISK MANAGER",
        "authorized_official_telephone_number": "312-837-0710"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH LICENSE NUMBER",
            "identifier": "5107393",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspired Living of La Grange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prachi Indravadan Patel, D.O.
• Priya I Patel, DO
• Priya Naresh Patel
• Shruti P Patel, DO
• Tulsi Patel, DO
• Julia Nicole Petroff, DO
• Philip J Girgis DMD PC
• Layne Alexander Phillips, D.O
• Physiotherapy Associates
• Physiotherapy Associates Inc

• Assisted Living Facility in La Grange, IL
• Providers in La Grange, 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 Jan 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.