ARC AT SANGAMON VALLEY LLC
NPI 1205647575
Skilled Nursing Facility in Springfield, IL

Active since January 16, 2025CLIA 14D2322946 · Waiver
3400 W WASHINGTON ST, SPRINGFIELD, IL 62711(217) 787-9600 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Arc At Sangamon Valley Llc NPPES

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

ARC AT SANGAMON VALLEY LLC (NPI 1205647575), doing business as Arc At Sangamon Valley, is a healthcare organization registered as a skilled nursing facility in Springfield, Illinois and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Jennifer Spector, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1205647575
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameARC AT SANGAMON VALLEY LLC
Location Address3400 W WASHINGTON STSpringfield, IL 62711-7917
Mailing Address4655 W Chase AveLincolnwood, IL 60712-1605 · (847) 262-3800
Organization SubpartNo
Authorized OfficialJennifer SpectorVp Of Revenue Cycle Management · (847) 262-3800
Enumeration DateJanuary 16, 2025
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
NPI 1205647575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3400 W WASHINGTON ST, Springfield, IL 62711

Other Names 1

Doing Business AsArc At Sangamon Valley

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 14D2322946

Arc At Sangamon Valley · Springfield, IL
Active · expires Apr 28, 2027
CLIA Number14D2322946
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 29, 2025
Certificate Expiration DateApril 28, 2027
Laboratory DirectorPhil Bachman
Laboratory Phone(217) 787-9600
Laboratory LocationArc At Sangamon Valley3400 W Washington St, Springfield, IL 62711
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 20

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

Physical Therapist
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Physical Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Occupational Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Occupational Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Occupational Therapist
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Occupational Therapy Assistant
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711
Preferred Provider Organization
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711

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 Arc At Sangamon Valley LLC's NPI number?

The NPI number for Arc At Sangamon Valley LLC is 1205647575. It was assigned to this organization in the NPPES registry on January 16, 2025. The provider is doing business as Arc at Sangamon Valley.

Where is Arc At Sangamon Valley LLC located?

Arc At Sangamon Valley LLC is located at 3400 W Washington St, Springfield, IL 62711. The listed phone number is (217) 787-9600.

What is Arc At Sangamon Valley LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Arc At Sangamon Valley LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2322946) is associated with this NPI, valid through April 28, 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 Arc At Sangamon Valley LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.