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

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: July 19, 2026.

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
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

Other Providers at the Same Location NPPES

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

Assisted Living Facility
2114 KISHWAUKEE ST
ROCKFORD, IL 61104

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 with the weekly NPPES data releases published by CMS.