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GREENFIELD HOME
NPI 1013124593
Assisted Living Facility in Princeton, IL

Active since May 16, 2007CLIA 14D2205036 · Waiver
508 PARK AVE E, PRINCETON, IL 61356(815) 872-2261(815) 875-1758 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Greenfield Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREENFIELD HOME (NPI 1013124593) is a healthcare organization registered as an assisted living facility in Princeton, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists Phillip Karl Kaufmann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013124593
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameADELINE E. PROUTY TRUST
Location Address508 PARK AVE EPrinceton, IL 61356-2538
Mailing Address508 Park Ave EPrinceton, IL 61356-2538 · (815) 872-2261 · Fax (815) 875-1758
Phone(815) 872-2261
Fax(815) 875-1758
Organization SubpartNo
Authorized OfficialPhillip Karl KaufmannAdministrator · (815) 872-2261
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013124593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IL · 0021956
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

508 PARK AVE E, Princeton, IL 61356
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Other Names 1

Doing Business AsGreenfield Home

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2205036

Greenfield Home Adeline E Prouty Trust · Princeton, IL
Active · expires Dec 10, 2026
CLIA Number14D2205036
Laboratory TypeLicensed Shelter Care
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorShelly A. Davis
Laboratory Phone(815) 872-2261
Laboratory LocationGreenfield Home Adeline E Prouty Trust508 Park Ave East, Princeton, IL 61356
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adeline E. Prouty Trust's NPI number?

The NPI number for Adeline E. Prouty Trust is 1013124593. It was assigned to this organization in the NPPES registry on May 16, 2007. The provider is doing business as Greenfield Home.

Where is Adeline E. Prouty Trust located?

Adeline E. Prouty Trust is located at 508 Park Ave E, Princeton, IL 61356. The listed phone number is (815) 872-2261.

What is Adeline E. Prouty Trust's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Adeline E. Prouty Trust hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2205036) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adeline E. Prouty Trust was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.