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AVENUES AT ROYAL OAK LLC
NPI 1174350482
Durable Medical Equipment & Medical Supplies in Kewanee, IL

Active since September 19, 2024CLIA 14D2321454 · Waiver
605 E CHURCH ST, KEWANEE, IL 61443(309) 852-3389 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Sep 19, 2024 (2 updates tracked since 2024).

About Avenues At Royal Oak Llc NPPES

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

AVENUES AT ROYAL OAK LLC (NPI 1174350482), doing business as Avenues At Royal Oak, is a healthcare organization registered as a durable medical equipment & medical supplies in Kewanee, Illinois and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1174350482
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAVENUES AT ROYAL OAK LLC
Location Address605 E CHURCH STKewanee, IL 61443-3503
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800
Phone(309) 852-3389
Organization SubpartNo
Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800
Enumeration DateSeptember 19, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1174350482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
605 E CHURCH ST, Kewanee, IL 61443
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Other Names 1

Doing Business AsAvenues At Royal Oak

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 14D2321454

Avenues At Royal Oak · Kewanee, IL
Active · expires Apr 3, 2027
CLIA Number14D2321454
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorLaura Martin
Laboratory Phone(309) 852-3389
Laboratory LocationAvenues At Royal Oak605 E Church St, Kewanee, IL 61443
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.

ROYAL HCO, LLC
Skilled Nursing Facility
605 E CHURCH ST
KEWANEE, IL 61443
Henry County (309) 852-3389
AVENUES AT ROYAL OAK LLC
Skilled Nursing Facility
605 E CHURCH ST
KEWANEE, IL 61443
Henry County (309) 852-3389
PETERSEN HEALTH CARE LL, INC.
Skilled Nursing Facility
605 E CHURCH ST
KEWANEE, IL 61443
Henry County (309) 852-3389
ROYAL HCO, LLC
Skilled Nursing Facility
605 E CHURCH ST
KEWANEE, IL 61443
Henry County (309) 852-3389

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 Avenues At Royal Oak LLC's NPI number?

The NPI number for Avenues At Royal Oak LLC is 1174350482. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Avenues At Royal Oak.

Where is Avenues At Royal Oak LLC located?

Avenues At Royal Oak LLC is located at 605 E Church St, Kewanee, IL 61443. The listed phone number is (309) 852-3389.

What is Avenues At Royal Oak LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Avenues At Royal Oak LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2321454) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avenues At Royal Oak LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.