EVERGREEN PLACE ASSISTED LIVING FACILITY
NPI 1447429378
Assisted Living Facility in Normal, IL

Q: What is Mclean County Assisted Living Facility, L.L.C.'s specialty?

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

Active since February 25, 2008CLIA 14D2194770 · Waiver

801 GREGORY ST, NORMAL, IL 61761(309) 451-9355(309) 862-4329 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Evergreen Place Assisted Living Facility NPPES

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

EVERGREEN PLACE ASSISTED LIVING FACILITY (NPI 1447429378) is a healthcare organization registered as an assisted living facility in Normal, Illinois and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Craig L. Ater, Senior V.p. Of Finance, as its authorized official.

NPPES Registry Identity

NPI1447429378

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMCLEAN COUNTY ASSISTED LIVING FACILITY, L.L.C.

Location Address801 GREGORY STNormal, IL 61761-4431

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

Phone(309) 451-9355

Fax(309) 862-4329

Organization SubpartYesParent: Heritage Enterprises, Inc

Authorized OfficialCraig L. AterSenior V.p. Of Finance · (309) 823-7135

Enumeration DateFebruary 25, 2008

✔ NPI 1447429378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in IL · 1821581

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.

801 GREGORY ST, Normal, IL 61761

Open in Google Maps ↗

Other Names 1

Doing Business AsEvergreen Place Assisted Living Facility

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 14D2194770

Evergreen Place · Normal, IL

Active · expires Oct 1, 2026

CLIA Number14D2194770

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateOctober 2, 2024

Certificate Expiration DateOctober 1, 2026

Laboratory DirectorJoyce Benton

Laboratory Phone(309) 451-9355

Laboratory LocationEvergreen Place801 Gregory St, Normal, IL 61761

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

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

TRAVIS RICE

Occupational Therapist

801 GREGORY ST
NORMAL, IL 61761

McLean County (309) 451-9355

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 Mclean County Assisted Living Facility, L.L.C.'s NPI number?

The NPI number for Mclean County Assisted Living Facility, L.L.C. is 1447429378. It was assigned to this organization in the NPPES registry on February 25, 2008. The provider is doing business as Evergreen Place Assisted Living Facility.

Where is Mclean County Assisted Living Facility, L.L.C. located?

Mclean County Assisted Living Facility, L.L.C. is located at 801 Gregory St, Normal, IL 61761. The listed phone number is (309) 451-9355.

What is Mclean County Assisted Living Facility, L.L.C.'s specialty?

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

Does Mclean County Assisted Living Facility, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2194770) is associated with this NPI, valid through October 1, 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 Mclean County Assisted Living Facility, L.L.C. was last updated on February 25, 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.