HERITAGE WOODS OF MINOOKA
NPI 1831634146
Assisted Living Facility in Minooka, IL

Q: What is Minooka Supportive Living Facility, LLC's specialty?

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

Active since December 21, 2016CLIA 14D2196060 · Waiver

701 HERITAGE WOODS DR, MINOOKA, IL 60447(815) 467-2837(815) 467-2783 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Heritage Woods Of Minooka NPPES

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

HERITAGE WOODS OF MINOOKA (NPI 1831634146) is a healthcare organization registered as an assisted living facility in Minooka, Illinois and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Joellen Bleavins, President Of Management Agent, as its authorized official.

NPPES Registry Identity

NPI1831634146

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMINOOKA SUPPORTIVE LIVING FACILITY, LLC

Location Address701 HERITAGE WOODS DRMinooka, IL 60447-8281

Mailing Address701 Heritage Woods DrMinooka, IL 60447-8281 · (815) 467-2837 · Fax (815) 467-2783

Phone(815) 467-2837

Fax(815) 467-2783

Organization SubpartNo

Authorized OfficialJoellen BleavinsPresident Of Management Agent · (815) 935-1992

Enumeration DateDecember 21, 2016

✔ NPI 1831634146 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.

701 HERITAGE WOODS DR, Minooka, IL 60447

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Other Names 1

Doing Business AsHeritage Woods Of Minooka

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 14D2196060

Heritage Woods Of Minooka · Minooka, IL

Active · expires Oct 13, 2026

CLIA Number14D2196060

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 14, 2024

Certificate Expiration DateOctober 13, 2026

Laboratory DirectorBrandy Scheer

Laboratory Phone(815) 467-2837

Laboratory LocationHeritage Woods Of Minooka701 Heritage Woods Drive, Minooka, IL 60447

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

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

LAURA ANN VIITA OT

Occupational Therapist

701 HERITAGE WOODS DR
MINOOKA, IL 60447

Grundy County (708) 467-2837

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 Minooka Supportive Living Facility, LLC's NPI number?

The NPI number for Minooka Supportive Living Facility, LLC is 1831634146. It was assigned to this organization in the NPPES registry on December 21, 2016. The provider is doing business as Heritage Woods Of Minooka.

Where is Minooka Supportive Living Facility, LLC located?

Minooka Supportive Living Facility, LLC is located at 701 Heritage Woods Dr, Minooka, IL 60447. The listed phone number is (815) 467-2837.

What is Minooka Supportive Living Facility, LLC's specialty?

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

Does Minooka Supportive Living Facility, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2196060) is associated with this NPI, valid through October 13, 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 Minooka Supportive Living Facility, LLC was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.