MONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE
NPI 1922543917
Assisted Living Facility in Chicago, IL

Q: What is Montclare Senior Residences Slf Of Lawndale LLC's specialty?

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

Active since December 29, 2016

4339 WEST 18TH PLACE, CHICAGO, IL 60623(773) 277-0288(773) 277-0312 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Montclare Senior Residences Slf Of Lawndale NPPES

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

MONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE (NPI 1922543917) is a healthcare organization registered as an assisted living facility in Chicago, Illinois and active in the NPI registry since December 2016. The organization lists Joellen Bleavins, President Of Management Agent, as its authorized official.

NPPES Registry Identity

NPI1922543917

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMONTCLARE SENIOR RESIDENCES SLF OF LAWNDALE LLC

Location Address4339 WEST 18TH PLACEChicago, IL 60623

Mailing Address4339 West 18th PlaceChicago, IL 60623 · (773) 277-0288 · Fax (773) 277-0312

Phone(773) 277-0288

Fax(773) 277-0312

Organization SubpartNo

Authorized OfficialJoellen BleavinsPresident Of Management Agent · (815) 935-1992

Enumeration DateDecember 29, 2016

✔ NPI 1922543917 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.

4339 WEST 18TH PLACE, Chicago, IL 60623

Open in Google Maps ↗

Other Names 1

Doing Business AsMontclare Senior Residences Slf Of Lawndale

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 Montclare Senior Residences Slf Of Lawndale LLC's NPI number?

The NPI number for Montclare Senior Residences Slf Of Lawndale LLC is 1922543917. It was assigned to this organization in the NPPES registry on December 29, 2016. The provider is doing business as Montclare Senior Residences Slf Of Lawndale.

Where is Montclare Senior Residences Slf Of Lawndale LLC located?

Montclare Senior Residences Slf Of Lawndale LLC is located at 4339 West 18th Place, Chicago, IL 60623. The listed phone number is (773) 277-0288.

What is Montclare Senior Residences Slf Of Lawndale LLC'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 Montclare Senior Residences Slf Of Lawndale LLC was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.