OrganizationActive
1815 Ridge Avenue LLC
NPI 1073288494 · Assisted Living Facility · Evanston, IL
Provider details
- NPI number
- 1073288494
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Authorized official
- Melissa Cosentino, Executive Director
Mailing address
1815 Ridge Ave
Evanston, IL 60201-3662
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.