Aledo Senior Housing LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALEDO SENIOR HOUSING LLC

Doing business as

Heritage Woods of Aledo

Practice address

405 SE 13TH Ave
Aledo, IL 61231-2000

Phone

(309) 582-1132

Fax

(309) 582-1134

NPI assigned

Aug 31, 2007

Last updated

Aug 31, 2007By 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

Ms. D. Eileen Moseley, RN/LNHA

Title

Administrator

Phone

(309) 582-1132

Specialties & licenses 2

Addresses

Other names 1

• Heritage Woods of Aledo Doing business as

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1982898003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SE 13TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612312000",
            "telephone_number": "309-582-1132",
            "fax_number": "309-582-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SE 13TH AVE",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612312000",
            "telephone_number": "309-582-1132",
            "fax_number": "309-582-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEDO SENIOR HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "D.",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-582-1132",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN/LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Woods of Aledo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.