Active NPI
Oak Hill SP LLC
- Assisted Living Facility
- Round Lake Beach, IL
National Provider Identifier
1013606649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- OAK HILL SP LLC
- Practice address
- 76 E Rollins Rd
Round Lake Beach, IL 60073-3804 - Phone
- (847) 584-1856
- NPI assigned
- May 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Greg Echols
- Title
- Co-President of Non-Member Manager
- Phone
- (815) 935-1992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
76 E Rollins Rd
Round Lake Beach, IL 60073-3804
Mailing address
200 E Court St Ste 400
Kankakee, IL 60901-3848
Phone (815) 935-1992
Other names 1
- Oak Hill Supportive Living Community
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2110337 | Oak Hill Supportive Living | Certificate of waiver | Mar 13, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1013606649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E COURT ST STE 400",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609013848",
"telephone_number": "815-935-1992",
"fax_number": "815-935-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 E ROLLINS RD",
"city": "ROUND LAKE BEACH",
"state": "IL",
"postal_code": "600733804",
"telephone_number": "847-584-1856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAK HILL SP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "ECHOLS",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "CO-PRESIDENT OF NON-MEMBER MANAGER",
"authorized_official_telephone_number": "815-935-1992",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oak Hill Supportive Living Community",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Oak Hill Supportive Living Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Round Lake Beach, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.