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ARDEN COURTS OF SOUTH HOLLAND
NPI 1265689749
Assisted Living Facility in South Holland, IL

Active since August 26, 2008CLIA 14D0926702 · Waiver
2045 E 170TH ST, SOUTH HOLLAND, IL 60473(708) 895-1600(708) 895-2600 Get Directions Write a Review

NPPES record last updated: August 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arden Courts Of South Holland NPPES

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

ARDEN COURTS OF SOUTH HOLLAND (NPI 1265689749) is a healthcare organization registered as an assisted living facility in South Holland, Illinois and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Barry A Lazarus, Vice President-reimbursement, as its authorized official.

NPPES Registry Identity

NPI1265689749
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameARDEN COURTS OF SOUTH HOLLAND IL LLC
Location Address2045 E 170TH STSouth Holland, IL 60473-3712
Mailing Address333 N Summit St, Attn Barry A LazarusToledo, OH 43604-1531 · (419) 252-5541 · Fax (419) 254-5494
Phone(708) 895-1600
Fax(708) 895-2600
Organization SubpartNo
Authorized OfficialBarry A LazarusVice President-reimbursement · (419) 252-5541
Enumeration DateAugust 26, 2008
✔ NPI 1265689749 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.

2045 E 170TH ST, South Holland, IL 60473
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Other Names 1

Doing Business AsArden Courts Of South Holland

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 14D0926702

Arden Courts Of South Holland Il LLC D/B/A Arden Courts Of South Holland · South Holland, IL
Active · expires Mar 27, 2027
CLIA Number14D0926702
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorBethany Hicks Rn
Laboratory Phone(708) 895-1600
Laboratory LocationArden Courts Of South Holland Il LLC D/B/A Arden Courts Of South Holland2045 East 170th St, South Holland, IL 60473
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 Arden Courts Of South Holland Il LLC's NPI number?

The NPI number for Arden Courts Of South Holland Il LLC is 1265689749. It was assigned to this organization in the NPPES registry on August 26, 2008. The provider is doing business as Arden Courts Of South Holland.

Where is Arden Courts Of South Holland Il LLC located?

Arden Courts Of South Holland Il LLC is located at 2045 E 170th St, South Holland, IL 60473. The listed phone number is (708) 895-1600.

What is Arden Courts Of South Holland Il LLC's specialty?

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

Does Arden Courts Of South Holland Il LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0926702) is associated with this NPI, valid through March 27, 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 Arden Courts Of South Holland Il LLC was last updated on August 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.