ALDEN OF WATERFORD, L.L.C.
NPI 1104477736
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Aurora, IL

Active since September 25, 2019CLIA 14D0999873 · Waiver
2021 RANDI DR, AURORA, IL 60504(630) 851-7266 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alden Of Waterford, L.l.c. NPPES

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

ALDEN OF WATERFORD, L.L.C. (NPI 1104477736) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Aurora, Illinois and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists John Avelino, Accounts Receivable Manager, as its authorized official.

NPPES Registry Identity

NPI1104477736
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameALDEN OF WATERFORD, L.L.C.
Location Address2021 RANDI DRAurora, IL 60504-4758
Mailing Address4200 W Peterson AveChicago, IL 60646-6074 · (773) 724-6373
Organization SubpartNo
Authorized OfficialJohn AvelinoAccounts Receivable Manager · (773) 724-6376
Enumeration DateSeptember 25, 2019
NPI 1104477736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code261QR0401X
2021 RANDI DR, Aurora, IL 60504

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 14D0999873

Alden Of Waterford L L C · Aurora, IL
Active · expires Mar 1, 2028
CLIA Number14D0999873
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorTracy Pell
Laboratory Phone(630) 851-7266
Laboratory LocationAlden Of Waterford L L C2021 Randi Dr, Aurora, IL 60504
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
2021 RANDI DR
AURORA, IL 60504
Durable Medical Equipment & Medical Supplies
2021 RANDI DR
AURORA, IL 60504
Skilled Nursing Facility
2021 RANDI DR
AURORA, IL 60504
Occupational Therapist
2021 RANDI DR
AURORA, IL 60504

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 Of Waterford, L.L.C.'s NPI number?

The NPI number for Alden Of Waterford, L.L.C. is 1104477736. It was assigned to this organization in the NPPES registry on September 25, 2019.

Where is Alden Of Waterford, L.L.C. located?

Alden Of Waterford, L.L.C. is located at 2021 Randi Dr, Aurora, IL 60504. The listed phone number is (630) 851-7266.

What is Alden Of Waterford, L.L.C.'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 Of Waterford, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0999873) is associated with this NPI, valid through March 1, 2028. 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 Of Waterford, L.L.C. was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.