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AUTUMN LEAVES OF BOLINGBROOK
NPI 1679995526
Assisted Living Facility in Bolingbrook, IL

Active since January 13, 2014
351 LILY CACHE LN, BOLINGBROOK, IL 60440(630) 759-0797(630) 759-1075 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Autumn Leaves Of Bolingbrook NPPES

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

AUTUMN LEAVES OF BOLINGBROOK (NPI 1679995526) is a healthcare organization registered as an assisted living facility in Bolingbrook, Illinois and active in the NPI registry since January 2014. The organization lists Felichia Fields, Vp Of Management--sl, as its authorized official.

NPPES Registry Identity

NPI1679995526
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBOLINGBROOK MEMORY CARE, LLC
Location Address351 LILY CACHE LNBolingbrook, IL 60440-3441
Mailing Address545 E John Carpenter Fwy, Suite 500Irving, TX 75062-3931 · (214) 845-4500 · Fax (214) 845-4501
Phone(630) 759-0797
Fax(630) 759-1075
Organization SubpartNo
Authorized OfficialFelichia FieldsVp Of Management--sl · (214) 845-4454
Enumeration DateJanuary 13, 2014
✔ NPI 1679995526 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 · 5104283
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.
351 LILY CACHE LN, Bolingbrook, IL 60440
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Other Names 1

Doing Business AsAutumn Leaves Of Bolingbrook

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 Bolingbrook Memory Care, LLC's NPI number?

The NPI number for Bolingbrook Memory Care, LLC is 1679995526. It was assigned to this organization in the NPPES registry on January 13, 2014. The provider is doing business as Autumn Leaves Of Bolingbrook.

Where is Bolingbrook Memory Care, LLC located?

Bolingbrook Memory Care, LLC is located at 351 Lily Cache Ln, Bolingbrook, IL 60440. The listed phone number is (630) 759-0797.

What is Bolingbrook Memory Care, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Bolingbrook Memory Care, LLC was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.