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AUTUMN LEAVES OF ORLAND PARK
NPI 1508139742
Assisted Living Facility in Orland Park, IL

Active since February 20, 2012CLIA 14D2344728 · Waiver
8021 W 151ST ST, ORLAND PARK, IL 60462(708) 403-2400(708) 403-2401 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Leaves Of Orland Park NPPES

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

AUTUMN LEAVES OF ORLAND PARK (NPI 1508139742) is a healthcare organization registered as an assisted living facility in Orland Park, Illinois and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Chad Anderson, President, as its authorized official.

NPPES Registry Identity

NPI1508139742
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameORLAND PARK MEMORY CARE, LLC
Location Address8021 W 151ST STOrland Park, IL 60462-2963
Mailing Address545 E John Carpenter Fwy, Suite 500Irving, TX 75062-3931 · (214) 845-4500 · Fax (214) 845-4501
Phone(708) 403-2400
Fax(708) 403-2401
Organization SubpartNo
Authorized OfficialChad AndersonPresident · (214) 845-4500
Enumeration DateFebruary 20, 2012
✔ NPI 1508139742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in IL · 5103293
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.
8021 W 151ST ST, Orland Park, IL 60462
Open in Google Maps ↗

Other Names 1

Doing Business AsAutumn Leaves Of Orland Park

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 14D2344728

Autumn Leaves Of Orland Park · Orland Park, IL
Active · expires May 27, 2028
CLIA Number14D2344728
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorPeace Igbinovia
Laboratory Phone(708) 403-2400
Laboratory LocationAutumn Leaves Of Orland Park8021 151st St, Orland Park, IL 60462
CLIA data matches this NPI record on: 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 Orland Park Memory Care, LLC's NPI number?

The NPI number for Orland Park Memory Care, LLC is 1508139742. It was assigned to this organization in the NPPES registry on February 20, 2012. The provider is doing business as Autumn Leaves Of Orland Park.

Where is Orland Park Memory Care, LLC located?

Orland Park Memory Care, LLC is located at 8021 W 151st St, Orland Park, IL 60462. The listed phone number is (708) 403-2400.

What is Orland Park Memory Care, LLC's specialty?

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

Does Orland Park Memory Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2344728) is associated with this NPI, valid through May 27, 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 Orland Park Memory Care, LLC was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.