ROCKFORD SUPPORTIVE LIVING
NPI 1609907740
Assisted Living Facility in Rockford, IL

Q: What is Rockford Supportive Living's NPI number?

The NPI number for Rockford Supportive Living is 1609907740. It was assigned to this organization in the NPPES registry on March 8, 2007.

Q: What is Rockford Supportive Living's specialty?

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

Active since March 08, 2007

2114 KISHWAUKEE ST, ROCKFORD, IL 61104(815) 966-1030(815) 966-1090 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rockford Supportive Living NPPES

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

ROCKFORD SUPPORTIVE LIVING (NPI 1609907740) is a healthcare organization registered as an assisted living facility in Rockford, Illinois and active in the NPI registry since March 2007. The organization lists Patrick Finn, Member, as its authorized official.

NPPES Registry Identity

NPI1609907740

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameROCKFORD SUPPORTIVE LIVING

Location Address2114 KISHWAUKEE STRockford, IL 61104-7099

Mailing Address4711 Midlothian Tpke, Suite 20Crestwood, IL 60445-4900 · (708) 371-4507 · Fax (708) 371-1761

Phone(815) 966-1030

Fax(815) 966-1090

Organization SubpartNo

Authorized OfficialPatrick FinnMember · (847) 229-3400

Enumeration DateMarch 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1609907740 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.

2114 KISHWAUKEE ST, Rockford, IL 61104

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Other Providers at the Same Location NPPES

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

ROCKFORD SLF, LLC

Assisted Living Facility

2114 KISHWAUKEE ST
ROCKFORD, IL 61104

Winnebago County (815) 966-1030

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 Rockford Supportive Living's NPI number?

The NPI number for Rockford Supportive Living is 1609907740. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Rockford Supportive Living located?

Rockford Supportive Living is located at 2114 Kishwaukee St, Rockford, IL 61104. The listed phone number is (815) 966-1030.

What is Rockford Supportive Living'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 Rockford Supportive Living was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.