ASBURY OF KANKAKEE SUPPORTIVE LIVING LLC
NPI 1023465408
Assisted Living Facility in Kankakee, IL

Active since May 16, 2016CLIA 14D2212505 · Waiver
1975 E COURT ST, KANKAKEE, IL 60901(815) 936-1000 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Asbury Of Kankakee Supportive Living Llc NPPES

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

ASBURY OF KANKAKEE SUPPORTIVE LIVING LLC (NPI 1023465408) is a healthcare organization registered as an assisted living facility in Kankakee, Illinois and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Michael Zahtz, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1023465408
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameASBURY OF KANKAKEE SUPPORTIVE LIVING LLC
Location Address1975 E COURT STKankakee, IL 60901-2781
Mailing Address8170 Mccormick BlvdSkokie, IL 60076-2961
Organization SubpartNo
Authorized OfficialMichael ZahtzManager/member · (847) 676-1700
Enumeration DateMay 16, 2016
NPI 1023465408 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.

1975 E COURT ST, Kankakee, IL 60901

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2212505

Asbury Of Kankakee Supportive Living · Kankakee, IL
Active · expires Feb 3, 2027
CLIA Number14D2212505
Laboratory TypeSupportive Living Fac
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorMarc D. Sexton
Laboratory Phone(815) 936-1000
Laboratory LocationAsbury Of Kankakee Supportive Living1975 E Court St, Kankakee, IL 60901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
1975 E COURT ST
KANKAKEE, IL 60901
Assisted Living Facility
1975 E COURT ST
KANKAKEE, IL 60901

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 Asbury Of Kankakee Supportive Living LLC's NPI number?

The NPI number for Asbury Of Kankakee Supportive Living LLC is 1023465408. It was assigned to this organization in the NPPES registry on May 16, 2016.

Where is Asbury Of Kankakee Supportive Living LLC located?

Asbury Of Kankakee Supportive Living LLC is located at 1975 E Court St, Kankakee, IL 60901. The listed phone number is (815) 936-1000.

What is Asbury Of Kankakee Supportive Living LLC's specialty?

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

Does Asbury Of Kankakee Supportive Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2212505) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Asbury Of Kankakee Supportive Living LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Asbury Of Kankakee Supportive Living LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Asbury Of Kankakee Supportive Living LLC was last updated on May 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.