Organization Active NPI

Montclair Senior Living and Memory Care LLC

  • Nurse's Aide
  • Morton Grove, IL
National Provider Identifier
1649139288
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
MONTCLAIR SENIOR LIVING AND MEMORY CARE LLC
Practice address
5520 Lincoln Ave
Morton Grove, IL 60053-3416
Phone
(224) 388-1439
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Hardik Patel
Title
Manager
Phone
(224) 388-1439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

5520 Lincoln Ave
Morton Grove, IL 60053-3416

Mailing address

550 E Devon Ave Ste 110
Itasca, IL 60143-2637

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1649139288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E DEVON AVE STE 110",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 LINCOLN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533416",
            "telephone_number": "224-388-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR SENIOR LIVING AND MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HARDIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-388-1439"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.