EVERGREEN VILLAGE SUPPORTIVE LIVING, L.L.C.
NPI 1629247283
Assisted Living Facility in Normal, IL

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

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

Active since February 27, 2008

1701 EVERGREEN VILLAGE BLVD, NORMAL, IL 61761(309) 452-7300(309) 452-7311 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Evergreen Village Supportive Living, L.l.c. NPPES

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

EVERGREEN VILLAGE SUPPORTIVE LIVING, L.L.C. (NPI 1629247283) is a healthcare organization registered as an assisted living facility in Normal, Illinois and active in the NPI registry since February 2008. The organization lists Craig L. Ater, Senior V. P. Of Finance, as its authorized official.

NPPES Registry Identity

NPI1629247283

Entity TypeOrganization

Primary Taxonomy310400000X

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

Location Address1701 EVERGREEN VILLAGE BLVDNormal, IL 61761

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

Phone(309) 452-7300

Fax(309) 452-7311

Organization SubpartYes

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

Enumeration DateFebruary 27, 2008

Last NPPES UpdateAugust 6, 2008

✔ NPI 1629247283 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.

1701 EVERGREEN VILLAGE BLVD, Normal, IL 61761

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Other Names 1

Doing Business AsEvergreen Village Supportive Living, L.l.c.

Other Identifiers 1

Medicaid205051684001IL

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, L.L.C.'s NPI number?

The NPI number for Mclean County Assisted Living, L.L.C. is 1629247283. It was assigned to this organization in the NPPES registry on February 27, 2008. The provider is doing business as Evergreen Village Supportive Living, L.L.C..

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

Mclean County Assisted Living, L.L.C. is located at 1701 Evergreen Village Blvd, Normal, IL 61761. The listed phone number is (309) 452-7300.

What is Mclean County Assisted Living, L.L.C.'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 Mclean County Assisted Living, L.L.C. was last updated on August 6, 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.