MACOMB SENIOR LIVING, LLC
NPI 1437668696
Assisted Living Facility in Macomb, IL

Active since September 20, 2017
1307 MEADOWLARK LN, MACOMB, IL 61455(309) 833-5000(309) 833-5005 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 18, 2024, Feb 14, 2020, Sep 4, 2019 and 1 more (4 updates tracked since 2017).

  • Organization
  • Assisted Living Facility

About MACOMB SENIOR LIVING, LLC

This page provides the complete NPI Profile along with additional information for Macomb Senior Living, Llc, a provider established in Macomb, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1437668696 assigned on September 2017. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Greg Echols (Co-president Of Management Agent)

NPI
1437668696 Verify this NPI
Provider Name
MACOMB SENIOR LIVING, LLC
Entity Type
Organization
Location Address
1307 MEADOWLARK LN MACOMB, IL 61455
Location Phone
(309) 833-5000
Location Fax
(309) 833-5005
Mailing Address
200 E COURT ST STE 400 KANKAKEE, IL 60901
Mailing Phone
(815) 935-1992
Mailing Fax
(815) 935-8380
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2017
Last Update Date
09-18-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License State
IL
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREG ECHOLS

Authorized Official Title
CO-PRESIDENT OF MANAGEMENT AGENT
Authorized Official Phone
(779) 216-5849

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
1307 MEADOWLARK LN
MACOMB, IL 61455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437668696, enumerated as an "organization" on September 20, 2017.

The provider is located at 1307 MEADOWLARK LN MACOMB, IL 61455 and the phone number is (309) 833-5000.

Assisted Living Facility with taxonomy code 310400000X.