OrganizationActive
Adeline E. Prouty Trust
NPI 1013124593 · Assisted Living Facility · Princeton, IL
Provider details
- NPI number
- 1013124593
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Phillip Kaufmann, Administrator(815) 872-2261
- License
- 0021956 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
508 Park Ave E
Princeton, IL 61356-2538
Phone: (815) 872-2261
Fax: (815) 875-1758
Approximate (ZIP-level) locationGet directions
Mailing address
508 Park Ave E
Princeton, IL 61356-2538
Other names (DBA / former)
- Doing business as
- Greenfield Home
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.