Active NPI
Heritage Woods of South Elgin
- Assisted Living Facility
- South Elgin, IL
National Provider Identifier
1982835229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HERITAGE WOODS OF SOUTH ELGIN
- Practice address
- 700 N McLean Blvd
South Elgin, IL 60177-1429 - Phone
- (847) 531-8360
- Fax
- (847) 531-8362
- NPI assigned
- Aug 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gracie Hauser
- Title
- Administrator
- Phone
- (847) 531-8360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
700 N McLean Blvd
South Elgin, IL 60177-1429
Mailing address
700 N McLean Blvd
South Elgin, IL 60177-1429
Phone (847) 531-8360
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2198223 | Heritage Woods of South Elgin | Certificate of waiver | Oct 29, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249344000000",
"number": "1982835229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 N MCLEAN BLVD",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601771429",
"telephone_number": "847-531-8360",
"fax_number": "847-531-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 N MCLEAN BLVD",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601771429",
"telephone_number": "847-531-8360",
"fax_number": "847-531-8362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE WOODS OF SOUTH ELGIN",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-04",
"last_updated": "2009-08-04",
"status": "A",
"authorized_official_last_name": "HAUSER",
"authorized_official_first_name": "GRACIE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-531-8360",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.