1815 Ridge Avenue LLC
NPI 1073288494ActiveOrganization· Assisted Living Facility· Evanston, IL
Assisted Living Facility in Evanston, Illinois, registered in NPPES in August 2021. The authorized official on file is Melissa Anne Cosentino, MSW, CDP, Executive Director.
Overview
| NPI | 1073288494 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2021 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Aug 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|