WOODRIDGE OF PONITAC LLC
NPI 1871739185
Assisted Living Facility in Pontiac, IL

Q: What is Woodridge Of Ponitac LLC's NPI number?

The NPI number for Woodridge Of Ponitac LLC is 1871739185. It was assigned to this organization in the NPPES registry on December 17, 2008.

Q: What is Woodridge Of Ponitac LLC's specialty?

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

Active since December 17, 2008

120 NORTH DEERFIELD ROAD, PONTIAC, IL 61764(815) 844-2100(815) 844-2103 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Woodridge Of Ponitac Llc NPPES

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

WOODRIDGE OF PONITAC LLC (NPI 1871739185) is a healthcare organization registered as an assisted living facility in Pontiac, Illinois and active in the NPI registry since December 2008. The organization lists Marshall A Mauer, Manager, as its authorized official.

NPPES Registry Identity

NPI1871739185

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameWOODRIDGE OF PONITAC LLC

Location Address120 NORTH DEERFIELD ROADPontiac, IL 61764

Mailing Address120 North Deerfield RoadPontiac, IL 61764 · (815) 844-2100 · Fax (815) 844-2103

Phone(815) 844-2100

Fax(815) 844-2103

Organization SubpartNo

Authorized OfficialMarshall A MauerManager · (815) 844-2100

Enumeration DateDecember 17, 2008

✔ NPI 1871739185 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.

120 NORTH DEERFIELD ROAD, Pontiac, IL 61764

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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 Woodridge Of Ponitac LLC's NPI number?

The NPI number for Woodridge Of Ponitac LLC is 1871739185. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is Woodridge Of Ponitac LLC located?

Woodridge Of Ponitac LLC is located at 120 North Deerfield Road, Pontiac, IL 61764. The listed phone number is (815) 844-2100.

What is Woodridge Of Ponitac 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 Woodridge Of Ponitac LLC was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.