RIVER VALLEY SUPPORTIVE LIVING RESIDENCE LLC
NPI 1215176797
Assisted Living Facility in Kankakee, IL

Active since February 06, 2009
1975 E COURT ST, KANKAKEE, IL 60901(815) 936-1000 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About River Valley Supportive Living Residence Llc NPPES

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

RIVER VALLEY SUPPORTIVE LIVING RESIDENCE LLC (NPI 1215176797) is a healthcare organization registered as an assisted living facility in Kankakee, Illinois and active in the NPI registry since February 2009. The organization lists Ben Klein, Manager, as its authorized official.

NPPES Registry Identity

NPI1215176797
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRIVER VALLEY SUPPORTIVE LIVING RESIDENCE LLC
Location Address1975 E COURT STKankakee, IL 60901-2781
Mailing Address1975 East Court StreetKankakee, IL 60901 · (815) 936-1000
Organization SubpartNo
Authorized OfficialBen KleinManager · (847) 329-4100
Enumeration DateFebruary 6, 2009
NPI 1215176797 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

Other Identifiers 1

Medicaid=========001IL

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 River Valley Supportive Living Residence LLC's NPI number?

The NPI number for River Valley Supportive Living Residence LLC is 1215176797. It was assigned to this organization in the NPPES registry on February 6, 2009.

Where is River Valley Supportive Living Residence LLC located?

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

What is River Valley Supportive Living Residence LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for River Valley Supportive Living Residence LLC was last updated on February 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.