1. Home
  2. Directory
  3. Illinois
  4. Moline
  5. Assisted Living Facility
  6. NPI Profile

HERITAGE WOODS OF MOLINE
NPI 1689819955
Assisted Living Facility in Moline, IL

Active since December 15, 2008CLIA 14D2198462 · Waiver
5500 46TH AVENUE DR, MOLINE, IL 61265(309) 736-5655(309) 736-5651 Get Directions Write a Review

NPPES record last updated: December 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Woods Of Moline NPPES

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

HERITAGE WOODS OF MOLINE (NPI 1689819955) is a healthcare organization registered as an assisted living facility in Moline, Illinois and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through November 1, 2026 and lists D. Eileen Moseley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1689819955
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE WOODS OF MOLINE SUPPORTIVE LIVING FACILITY, LP
Location Address5500 46TH AVENUE DRMoline, IL 61265-9760
Mailing Address5500 46th Avenue DrMoline, IL 61265-9760 · (309) 736-5655 · Fax (309) 736-5651
Phone(309) 736-5655
Fax(309) 736-5651
Organization SubpartNo
Authorized OfficialD. Eileen MoseleyAdministrator · (309) 736-5655
Enumeration DateDecember 15, 2008
✔ NPI 1689819955 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.
5500 46TH AVENUE DR, Moline, IL 61265
Open in Google Maps ↗

Other Names 1

Doing Business AsHeritage Woods Of Moline

Other Identifiers 1

Medicaid=========001IL

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 14D2198462

Heritage Woods Of Moline · Moline, IL
Active · expires Nov 1, 2026
CLIA Number14D2198462
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 2, 2024
Certificate Expiration DateNovember 1, 2026
Laboratory DirectorAshley M. Smith
Laboratory Phone(309) 736-5655
Laboratory LocationHeritage Woods Of Moline5500 46th Avenue Drive, Moline, IL 61265
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 Heritage Woods Of Moline Supportive Living Facility, LP's NPI number?

The NPI number for Heritage Woods Of Moline Supportive Living Facility, LP is 1689819955. It was assigned to this organization in the NPPES registry on December 15, 2008. The provider is doing business as Heritage Woods Of Moline.

Where is Heritage Woods Of Moline Supportive Living Facility, LP located?

Heritage Woods Of Moline Supportive Living Facility, LP is located at 5500 46th Avenue Dr, Moline, IL 61265. The listed phone number is (309) 736-5655.

What is Heritage Woods Of Moline Supportive Living Facility, LP's specialty?

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

Does Heritage Woods Of Moline Supportive Living Facility, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2198462) is associated with this NPI, valid through November 1, 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 Heritage Woods Of Moline Supportive Living Facility, LP was last updated on December 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.