NPI

Adeline E. Prouty Trust

Doing business as Greenfield Home. NPI 1013124593

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-05-16
Last updated
2020-08-22

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Specialties

Licenses

License IL
0021956

Location

Practice location
508 Park Ave E
City
Princeton IL
Postal code
61356-2538
Phone
(815) 872-2261

Organization contact

Name
Phillip Kaufmann
Title
Administrator
Phone
(815) 872-2261

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Princeton, IL. 230 records in the public file.

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