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SUPPORTIVE LIVING OF WASHINGTON
NPI 1265616536
Assisted Living Facility in Washington, IL

Active since December 21, 2007CLIA 14D2199445 · Waiver
1150 NEWCASTLE RD, WASHINGTON, IL 61571(309) 444-3641(309) 444-8763 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supportive Living Of Washington NPPES

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

SUPPORTIVE LIVING OF WASHINGTON (NPI 1265616536) is a healthcare organization registered as an assisted living facility in Washington, Illinois and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Susan Mcghee, Controller, as its authorized official.

NPPES Registry Identity

NPI1265616536
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWASHINGTON VILLAGE ESTATES, LP
Location Address1150 NEWCASTLE RDWashington, IL 61571-1244
Mailing Address1150 Newcastle RdWashington, IL 61571-1244 · (309) 444-3641 · Fax (309) 444-8763
Phone(309) 444-3641
Fax(309) 444-8763
Organization SubpartNo
Authorized OfficialSusan McgheeController · (217) 732-5175
Enumeration DateDecember 21, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1265616536 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.
1150 NEWCASTLE RD, Washington, IL 61571
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Other Names 1

Doing Business AsSupportive Living Of Washington

Other Identifiers 1

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

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 14D2199445

Supportive Living Of Washington · Washington, IL
Active · expires Nov 8, 2026
CLIA Number14D2199445
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorAmy L. Itschner
Laboratory Phone(309) 412-6139
Laboratory LocationSupportive Living Of Washington1150 Newcastle Rd, Washington, IL 61571
CLIA data matches this NPI record on: Address Name
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.

AEGIS GROUP PRACTICE LLC
Physical Therapist
1150 NEWCASTLE RD
WASHINGTON, IL 61571
Tazewell County (479) 201-6091
CHAPTERS WASHINGTON OPCO LLC
Assisted Living Facility
1150 NEWCASTLE RD
WASHINGTON, IL 61571
Tazewell County (309) 886-1310

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 Washington Village Estates, LP's NPI number?

The NPI number for Washington Village Estates, LP is 1265616536. It was assigned to this organization in the NPPES registry on December 21, 2007. The provider is doing business as Supportive Living Of Washington.

Where is Washington Village Estates, LP located?

Washington Village Estates, LP is located at 1150 Newcastle Rd, Washington, IL 61571. The listed phone number is (309) 444-3641.

What is Washington Village Estates, LP's specialty?

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

Does Washington Village Estates, LP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2199445) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Washington Village Estates, LP was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.