EVERGREEN PLACE OF LITCHFIELD SUPPORTIVE LIVING
NPI 1376798777
Assisted Living Facility in Litchfield, IL

Q: What is Evergreen Litchfield, L.P.'s NPI number?

The NPI number for Evergreen Litchfield, L.P. is 1376798777. It was assigned to this organization in the NPPES registry on November 26, 2008. The provider is doing business as Evergreen Place Of Litchfield Supportive Living.

Q: What is Evergreen Litchfield, L.P.'s specialty?

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

Active since November 26, 2008CLIA 14D2194854 · Waiver

1015 E. TYLER AVE, LITCHFIELD, IL 62056(217) 324-1500(317) 324-6020 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Evergreen Place Of Litchfield Supportive Living NPPES

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

EVERGREEN PLACE OF LITCHFIELD SUPPORTIVE LIVING (NPI 1376798777) is a healthcare organization registered as an assisted living facility in Litchfield, Illinois and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Craig L. Ater, Senioe V.p. Of Finance, as its authorized official.

NPPES Registry Identity

NPI1376798777

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEVERGREEN LITCHFIELD, L.P.

Location Address1015 E. TYLER AVELitchfield, IL 62056-2716

Mailing Address115 W Jefferson St, Suite 401, Box 3188Bloomington, IL 61701-3946 · (309) 823-7155 · Fax (309) 829-9512

Phone(217) 324-1500

Fax(317) 324-6020

Organization SubpartNo

Authorized OfficialCraig L. AterSenioe V.p. Of Finance · (309) 828-4361

Enumeration DateNovember 26, 2008

✔ NPI 1376798777 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.

1015 E. TYLER AVE, Litchfield, IL 62056

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Other Names 1

Doing Business AsEvergreen Place Of Litchfield Supportive Living

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 14D2194854

Evergreen Place · Litchfield, IL

Active · expires Oct 4, 2026

CLIA Number14D2194854

Laboratory TypeSupportive Living Fac

Certificate Effective DateOctober 5, 2024

Certificate Expiration DateOctober 4, 2026

Laboratory DirectorAmy Williams

Laboratory Phone(217) 324-1550

Laboratory LocationEvergreen Place1015 Tyler Ave, Litchfield, IL 62056

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 Evergreen Litchfield, L.P.'s NPI number?

The NPI number for Evergreen Litchfield, L.P. is 1376798777. It was assigned to this organization in the NPPES registry on November 26, 2008. The provider is doing business as Evergreen Place Of Litchfield Supportive Living.

Where is Evergreen Litchfield, L.P. located?

Evergreen Litchfield, L.P. is located at 1015 E. Tyler Ave, Litchfield, IL 62056. The listed phone number is (217) 324-1500.

What is Evergreen Litchfield, L.P.'s specialty?

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

Does Evergreen Litchfield, L.P. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2194854) is associated with this NPI, valid through October 4, 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 Evergreen Litchfield, L.P. was last updated on November 26, 2008. 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.