NPIMap

Organization Active NPI

McLean County Assisted Living Facility, L.L.C.

  • Assisted Living Facility
  • Normal, IL
National Provider Identifier
1447429378
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1821581 Issued in IL
Legal business name
MCLEAN COUNTY ASSISTED LIVING FACILITY, L.L.C.
Practice address
801 Gregory St
Normal, IL 61761-4431
Phone
(309) 451-9355
Fax
(309) 862-4329
NPI assigned
Feb 25, 2008
Organization subpart
Yes
Parent organization
HERITAGE ENTERPRISES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Mr. Craig L. Ater
Title
Senior V.P. of Finance
Phone
(309) 823-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1821581 IL Primary

Addresses

Primary practice location

801 Gregory St
Normal, IL 61761-4431

Mailing address

115 W Jefferson St
Suite 401
Bloomington, IL 61701-3946
Phone (309) 823-7155

Other names 1

  • Evergreen Place Assisted Living Facility Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2194770Evergreen Place801 Gregory St, Normal, IL 61761Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
McLean County Assisted Living LLC2 organizations share this tax ID, including this one
Part of
Heritage Enterprises Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1447429378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W JEFFERSON ST",
            "address_2": "SUITE 401",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013946",
            "telephone_number": "309-823-7155",
            "fax_number": "309-829-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 GREGORY ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614431",
            "telephone_number": "309-451-9355",
            "fax_number": "309-862-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN COUNTY ASSISTED LIVING FACILITY, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE ENTERPRISES, INC",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "ATER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SENIOR V.P. OF FINANCE",
        "authorized_official_telephone_number": "309-823-7135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "1821581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Place Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.

Verify at the official NPI Registry.