GRAND VICTORIAN OF ROCKFORD, LLC
NPI 1891991550
Point of Service in Rockford, IL

Q: What is Grand Victorian Of Rockford, LLC's NPI number?

The NPI number for Grand Victorian Of Rockford, LLC is 1891991550. It was assigned to this organization in the NPPES registry on June 21, 2007.

Q: What is Grand Victorian Of Rockford, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Active since June 21, 2007

3495 MCFARLAND RD, ROCKFORD, IL 61114(815) 654-1400(815) 654-1488 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grand Victorian Of Rockford, Llc NPPES

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

GRAND VICTORIAN OF ROCKFORD, LLC (NPI 1891991550) is a healthcare organization registered as a point of service in Rockford, Illinois and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1891991550

Entity TypeOrganization

Primary Taxonomy305S00000X

Legal Business NameGRAND VICTORIAN OF ROCKFORD, LLC

Location Address3495 MCFARLAND RDRockford, IL 61114-5609

Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673

Phone(815) 654-1400

Fax(815) 654-1488

Organization SubpartNo

Authorized OfficialJohn HoltzController · (541) 747-3373

Enumeration DateJune 21, 2007

Last NPPES UpdateMay 13, 2008

✔ NPI 1891991550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations

Taxonomy Code305S00000X

Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

3495 MCFARLAND RD, Rockford, IL 61114

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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.

GRAND VICTORIAN OF ROCKFORD

Assisted Living Facility

3495 MCFARLAND RD
ROCKFORD, IL 61114

Winnebago County (815) 654-1400

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 Grand Victorian Of Rockford, LLC's NPI number?

The NPI number for Grand Victorian Of Rockford, LLC is 1891991550. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Grand Victorian Of Rockford, LLC located?

Grand Victorian Of Rockford, LLC is located at 3495 Mcfarland Rd, Rockford, IL 61114. The listed phone number is (815) 654-1400.

What is Grand Victorian Of Rockford, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Grand Victorian Of Rockford, LLC was last updated on May 13, 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.