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HERITAGE WOODS OF GURNEE
NPI 1669726527
Assisted Living Facility in Gurnee, IL

Active since October 30, 2012CLIA 14D2197259 · Waiver
3775 GRAND AVE, GURNEE, IL 60031(847) 623-6300(847) 623-6305 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Woods Of Gurnee NPPES

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

HERITAGE WOODS OF GURNEE (NPI 1669726527) is a healthcare organization registered as an assisted living facility in Gurnee, Illinois and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Keri Horn, Regional Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1669726527
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGURNEE SUPPORTIVE LIVING, LP
Location Address3775 GRAND AVEGurnee, IL 60031-2910
Mailing Address3775 Grand AveGurnee, IL 60031-2910 · (847) 623-6300 · Fax (847) 623-6305
Phone(847) 623-6300
Fax(847) 623-6305
Organization SubpartNo
Authorized OfficialKeri HornRegional Director Of Operations · (847) 623-6300
Enumeration DateOctober 30, 2012
✔ NPI 1669726527 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.
3775 GRAND AVE, Gurnee, IL 60031
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Other Names 1

Doing Business AsHeritage Woods Of Gurnee

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 14D2197259

Heritage Woods Of Gurnee · Gurnee, IL
Active · expires Oct 21, 2026
CLIA Number14D2197259
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorRusty J. Behmer
Laboratory Phone(847) 623-6300
Laboratory LocationHeritage Woods Of Gurnee3775 Grand Ave, Gurnee, IL 60031
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 3

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

MARCI SIMMONS OTR/L
Occupational Therapist
3775 GRAND AVE
GURNEE, IL 60031
Lake County (847) 231-3141
CAROLYN MARIE JANE
Occupational Therapist
3775 GRAND AVE
GURNEE, IL 60031
Lake County (847) 623-6300
COMFORT CARE DENTISTRY PLLC
Dentist
3775 GRAND AVE
GURNEE, IL 60031
Lake County (847) 623-6300

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 Gurnee Supportive Living, LP's NPI number?

The NPI number for Gurnee Supportive Living, LP is 1669726527. It was assigned to this organization in the NPPES registry on October 30, 2012. The provider is doing business as Heritage Woods Of Gurnee.

Where is Gurnee Supportive Living, LP located?

Gurnee Supportive Living, LP is located at 3775 Grand Ave, Gurnee, IL 60031. The listed phone number is (847) 623-6300.

What is Gurnee Supportive Living, LP's specialty?

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

Does Gurnee Supportive Living, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2197259) is associated with this NPI, valid through October 21, 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 Gurnee Supportive Living, LP was last updated on October 30, 2012. 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.