Organization Active NPI

Memory Care Communities of Illinois, LLC

  • Assisted Living Facility
  • Sycamore, IL
National Provider Identifier
1487926622
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5013475 Issued in IL
Legal business name
MEMORY CARE COMMUNITIES OF ILLINOIS, LLC
Practice address
710 Vellagio Dr
Sycamore, IL 60178-7800
Phone
(815) 895-9870
NPI assigned
Feb 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Mr. Steven Lirtzman
Title
Member
Phone
(847) 777-6933

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5013475 IL Primary
Alzheimer Center (Dementia Center) 311500000X 5103475 IL

Addresses

Primary practice location

710 Vellagio Dr
Sycamore, IL 60178-7800

Mailing address

175 Olde Half Day Rd
Suite 292
Lincolnshire, IL 60069-3061
Phone (847) 777-6933

National Provider Directory

National Provider Directory

Locations

175 Olde Half Day Rd
Ste 292
Lincolnshire, IL 60069
Phone (847) 777-6933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1487926622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 OLDE HALF DAY RD",
            "address_2": "SUITE 292",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693061",
            "telephone_number": "847-777-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 VELLAGIO DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601787800",
            "telephone_number": "815-895-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY CARE COMMUNITIES OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "LIRTZMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-777-6933",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": "5013475",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "IL",
            "license": "5103475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; 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.