GRASMERE PLACE, LLC
NPI 1932224243
Intermediate Care Facility, Mental Illness in Evanston, IL
- Organization
- Intermediate Care Facility, Mental Illne...
- CLIA Number: 14D0888086
- CLIA Cert. Type: Other - SPECIALIZED MENTAL HEALTH
- CLIA Exp. Date: 06-21-2028
About GRASMERE PLACE, LLC
This page provides the complete NPI Profile along with additional information for Grasmere Place, Llc, a provider established in Evanston, Illinois operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1932224243 assigned on March 2007. The practitioner's primary taxonomy code is 310500000X with license number 0044271 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Levi Israel (Ceo)
- NPI
- 1932224243 Verify this NPI
- Provider Name
- GRASMERE PLACE, LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2201 MAIN ST EVANSTON, IL 60202
- Location Phone
- (847) 905-3000
- Mailing Address
- 2201 MAIN ST EVANSTON, IL 60202
- Mailing Phone
- (847) 905-3000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-20-2007
- Last Update Date
- 08-06-2025
- Code Navigator
Location Map
Secondary Locations
- 4621 N Sheridan Rd
Chicago, IL 60640
(773) 334-6601
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0044271
- License State
- IL
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0888086
- Facility Type
- Other - SPECIALIZED MENTAL HEALTH
- Certificate Effective Date
- June 22, 2026
- Certificate Expiration Date
- June 21, 2028
- Laboratory Director
- LAURA FELICIANO-DIXON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Grasmere Place, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
EVANSTON, IL 60202
EVANSTON, IL 60202
EVANSTON, IL 60202
EVANSTON, IL 60202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932224243, enumerated as an "organization" on March 20, 2007.
The provider is located at 2201 MAIN ST EVANSTON, IL 60202 and the phone number is (847) 905-3000.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
