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GRAND VICTORIAN OF ROCKFORD
NPI 1144981515
Assisted Living Facility in Rockford, IL

Active since January 06, 2022CLIA 14D2214390 · Waiver
3495 MCFARLAND RD, ROCKFORD, IL 61114(815) 654-1400(815) 860-1764 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2026, Jan 6, 2022 (2 updates tracked since 2022).

About Grand Victorian Of Rockford NPPES

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

GRAND VICTORIAN OF ROCKFORD (NPI 1144981515) is a healthcare organization registered as an assisted living facility in Rockford, Illinois and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Jerome Finis, Manager, as its authorized official.

NPPES Registry Identity

NPI1144981515
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRAND VICTORIAN OF ROCKFORD
Location Address3495 MCFARLAND RDRockford, IL 61114-5609
Mailing Address200 E Court St Ste 400Kankakee, IL 60901-3848 · (815) 935-1992 · Fax (815) 935-8380
Phone(815) 654-1400
Fax(815) 860-1764
Organization SubpartYesParent: Well Path Tenant, Llc
Authorized OfficialJerome FinisManager · (847) 274-9596
Enumeration DateJanuary 6, 2022
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1144981515 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.
3495 MCFARLAND RD, Rockford, IL 61114
Open in Google Maps ↗

Other Identifiers 1

Other5107955IL · Idph Assisted Living License

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 14D2214390

Grand Victorian Of Rockford · Rockford, IL
Active · expires Feb 21, 2027
CLIA Number14D2214390
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorDianna M. Lafron Romero
Laboratory Phone(815) 654-1400
Laboratory LocationGrand Victorian Of Rockford3495 Mcfarland Rd, Rockford, IL 61114
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

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

GRAND VICTORIAN OF ROCKFORD, LLC
Point of Service
3495 MCFARLAND RD
ROCKFORD, IL 61114
Winnebago County (815) 654-1400

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 Grand Victorian Of Rockford's NPI number?

The NPI number for Grand Victorian Of Rockford is 1144981515. It was assigned to this organization in the NPPES registry on January 6, 2022.

Where is Grand Victorian Of Rockford located?

Grand Victorian Of Rockford is located at 3495 Mcfarland Rd, Rockford, IL 61114. The listed phone number is (815) 654-1400.

What is Grand Victorian Of Rockford's specialty?

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

Does Grand Victorian Of Rockford hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2214390) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Grand Victorian Of Rockford was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.