Active NPI
Sapphire at Maple Crest LLC
- Skilled Nursing Facility
- Belvidere, IL
National Provider Identifier
1124945878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SAPPHIRE AT MAPLE CREST LLC
- Practice address
- 4452 Squaw Prairie Rd
Belvidere, IL 61008-8801 - Phone
- (815) 547-6377
- NPI assigned
- Jul 2, 2026
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Eitan Zeffren
- Title
- Medicare Authorized Official
- Phone
- (847) 221-6444
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4452 Squaw Prairie Rd
Belvidere, IL 61008-8801
Mailing address
6865 N Lincoln Ave
Lincolnwood, IL 60712-4611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2026.
{
"created_epoch": "1782950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782950400000",
"number": "1124945878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6865 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607124611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4452 SQUAW PRAIRIE RD",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610088801",
"telephone_number": "815-547-6377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAPPHIRE AT MAPLE CREST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-02",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A",
"authorized_official_last_name": "ZEFFREN",
"authorized_official_first_name": "EITAN",
"authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "847-221-6444"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.