Basic Information
| Provider Information | |||||||||
| NPI: | 1013330760 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AURORA SENIOR LIVING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7040 N RIDGEWAY AVE | ||||||||
| Address2: | |||||||||
| City: | LINCOLNWOOD | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607122620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476799797 | ||||||||
| FaxNumber: | 8476765348 | ||||||||
| Practice Location | |||||||||
| Address1: | 1599 N FARNSWORTH AVE | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605051530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6308989400 | ||||||||
| FaxNumber: | 6308989420 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2014 | ||||||||
| LastUpdateDate: | 01/31/2014 | ||||||||
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| AuthorizedOfficialLastName: | LEVITIN | ||||||||
| AuthorizedOfficialFirstName: | REUVEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | AR MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8476765342 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.