HERITAGE WOODS OF BOLINGBROOK
NPI 1831448463
Assisted Living Facility in Bolingbrook, IL

Active since August 29, 2012CLIA 14D2201585 · Waiver
550 KILDEER DR, BOLINGBROOK, IL 60440(630) 783-9640 Get Directions Write a Review

NPPES record last updated: August 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heritage Woods Of Bolingbrook NPPES

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

HERITAGE WOODS OF BOLINGBROOK (NPI 1831448463) is a healthcare organization registered as an assisted living facility in Bolingbrook, Illinois and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Rod Burkett, President, as its authorized official.

NPPES Registry Identity

NPI1831448463
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSENIOR ESTATES SUPPORTIVE LIVING FACILITY LIMITED PARTNERSHIP
Location Address550 KILDEER DRBolingbrook, IL 60440-3172
Mailing Address550 Kildeer DrBolingbrook, IL 60440-3172 · (630) 783-9640
Organization SubpartNo
Authorized OfficialRod BurkettPresident · (815) 935-1992
Enumeration DateAugust 29, 2012
NPI 1831448463 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.
550 KILDEER DR, Bolingbrook, IL 60440

Other Names 1

Doing Business AsHeritage Woods Of Bolingbrook

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 14D2201585

Hertiage Woods Of Bolingbrook · Bolingbrook, IL
Active · expires Nov 22, 2026
CLIA Number14D2201585
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 23, 2024
Certificate Expiration DateNovember 22, 2026
Laboratory DirectorTerry Pfeiffer
Laboratory Phone(630) 783-9640
Laboratory LocationHertiage Woods Of Bolingbrook550 Kildeer Drive, Bolingbrook, IL 60440
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Occupational Therapist
550 KILDEER DR
BOLINGBROOK, IL 60440

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 Senior Estates Supportive Living Facility Limited Partnership's NPI number?

The NPI number for Senior Estates Supportive Living Facility Limited Partnership is 1831448463. It was assigned to this organization in the NPPES registry on August 29, 2012. The provider is doing business as Heritage Woods Of Bolingbrook.

Where is Senior Estates Supportive Living Facility Limited Partnership located?

Senior Estates Supportive Living Facility Limited Partnership is located at 550 Kildeer Dr, Bolingbrook, IL 60440. The listed phone number is (630) 783-9640.

What is Senior Estates Supportive Living Facility Limited Partnership's specialty?

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

Does Senior Estates Supportive Living Facility Limited Partnership hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2201585) is associated with this NPI, valid through November 22, 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 Senior Estates Supportive Living Facility Limited Partnership was last updated on August 29, 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.