MCC of Sugar Grove, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MCC OF SUGAR GROVE, LLC

Doing business as

Prairie Pointe Assisted Living

Practice address

58 W Park Ave
Sugar Grove, IL 60554-2247

Phone

(847) 777-6933

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Lirtzman

Title

Manager

Phone

(847) 777-6933

Specialties & licenses 1

Addresses

Other names 1

• Prairie Pointe Assisted Living Doing business as

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: kebel@prairiepointealf.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Lirtzman

  • Professional Counselor
  • Lincolnshire, IL
  • NPI 1093098071
  NPD (past)

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1275294951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD STE 292",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693063",
            "telephone_number": "847-777-6933",
            "fax_number": "847-777-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W PARK AVE",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605542247",
            "telephone_number": "847-777-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC OF SUGAR GROVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "LIRTZMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-777-6933"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kebel@prairiepointealf.com",
            "affiliation": "N",
            "address_1": "58 W Park Ave",
            "city": "Sugar Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605542247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prairie Pointe Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justine Lim, PA
• Steven Limbrunner, ATC, LAT
• Matthew Travis Logeman, DPT
• Deanne Ellen Loughary, PT
• Amanda Raquel Martinez, MSW
• Bridget McCracken
• Janet Jean Meeks, LCPC
• Patricia C Megchelsen, P.T.
• Michael W Elgersma (Elgersma Counseling Services)
• Minardi Chiropractic PC

• Assisted Living Facility in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.