ALDEN ESTATES OF COUNTRYSIDE, INC.
NPI 1023677184
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Jefferson, WI
About Alden Estates Of Countryside, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALDEN ESTATES OF COUNTRYSIDE, INC. (NPI 1023677184) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Jefferson, Wisconsin and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Avelino, Accounts Receivable Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 52D0392917
Alden Estates Of Countryside, Inc · Jefferson, WIOther Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alden Estates Of Countryside, Inc.'s NPI number?
The NPI number for Alden Estates Of Countryside, Inc. is 1023677184. It was assigned to this organization in the NPPES registry on June 11, 2019.
Where is Alden Estates Of Countryside, Inc. located?
Alden Estates Of Countryside, Inc. is located at 1130 Collins Rd, Jefferson, WI 53549. The listed phone number is (920) 674-3170.
What is Alden Estates Of Countryside, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.
Does Alden Estates Of Countryside, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D0392917) is associated with this NPI, valid through August 31, 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 Alden Estates Of Countryside, Inc. was last updated on June 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.
