Organization Active NPI

Plum Creek Supportive Living

  • Assisted Living Facility
  • Rolling Meadows, IL
National Provider Identifier
1245420173
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PLUM CREEK SUPPORTIVE LIVING
Practice address
2801 Algonquin Rd
Rolling Meadows, IL 60008-3823
Phone
(847) 670-8080
Fax
(847) 368-1330
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carol Terrill
Title
Administrator
Phone
(847) 670-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IL Primary

Addresses

Primary practice location

2801 Algonquin Rd
Rolling Meadows, IL 60008-3823

Mailing address

2801 Algonquin Rd
Rolling Meadows, IL 60008-3823
Phone (847) 670-8080

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1245420173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ALGONQUIN RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083823",
            "telephone_number": "847-670-8080",
            "fax_number": "847-368-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ALGONQUIN RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083823",
            "telephone_number": "847-670-8080",
            "fax_number": "847-368-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM CREEK SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "TERRILL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-670-8080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.