HERITAGE WOODS OF FREEPORT
NPI 1124460720
Assisted Living Facility in Freeport, IL

Active since July 23, 2013CLIA 14D2200314 · Waiver
1500 S FOREST RD, FREEPORT, IL 61032(815) 801-3900 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Woods Of Freeport NPPES

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

HERITAGE WOODS OF FREEPORT (NPI 1124460720) is a healthcare organization registered as an assisted living facility in Freeport, Illinois and active in the NPI registry since July 2013. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Rod Burkett, President, as its authorized official.

NPPES Registry Identity

NPI1124460720
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE WOODS OF FREEPORT LIMITED PARTNERSHIP
Location Address1500 S FOREST RDFreeport, IL 61032-9413
Mailing Address535 E North St, Suite EBradley, IL 60915-1187 · (815) 935-1992
Organization SubpartNo
Authorized OfficialRod BurkettPresident · (815) 935-1992
Enumeration DateJuly 23, 2013
NPI 1124460720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
1500 S FOREST RD, Freeport, IL 61032

Other Names 1

Doing Business AsHeritage Woods Of Freeport

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 14D2200314

Heritage Woods Of Freeport · Freeport, IL
Active · expires Nov 13, 2026
CLIA Number14D2200314
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorSheila Amborn
Laboratory Phone(815) 801-3900
Laboratory LocationHeritage Woods Of Freeport1500 So Forest Rd, Freeport, IL 61032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Occupational Therapist
1500 S FOREST RD
FREEPORT, IL 61032

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 Heritage Woods Of Freeport Limited Partnership's NPI number?

The NPI number for Heritage Woods Of Freeport Limited Partnership is 1124460720. It was assigned to this organization in the NPPES registry on July 23, 2013. The provider is doing business as Heritage Woods Of Freeport.

Where is Heritage Woods Of Freeport Limited Partnership located?

Heritage Woods Of Freeport Limited Partnership is located at 1500 S Forest Rd, Freeport, IL 61032. The listed phone number is (815) 801-3900.

What is Heritage Woods Of Freeport Limited Partnership's specialty?

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

Does Heritage Woods Of Freeport Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2200314) is associated with this NPI, valid through November 13, 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 Heritage Woods Of Freeport Limited Partnership was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.