Active NPI
Grasmere Place, LLC
- Mental Illness Intermediate Care Facility
- Evanston, IL
National Provider Identifier
1932224243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- License
- 0044271
- Legal business name
- GRASMERE PLACE, LLC
- Doing business as
- Grasmere Place
- Practice address
- 2201 Main St
Evanston, IL 60202-1519 - Phone
- (847) 905-3000
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Levi Israel
- Title
- Ceo
- Phone
- (847) 905-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | 0044271 | IL | Primary |
Addresses
Primary practice location
2201 Main St
Evanston, IL 60202-1519
Mailing address
2201 Main St
Evanston, IL 60202-1519
Phone (847) 905-3000
Other practice location 1
4621 N Sheridan Rd
Chicago, IL 60640-5019
Phone (773) 334-6601
Other names 1
- Grasmere Place
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0888086 | Grasmere Place | Certificate of waiver | Jun 21, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1932224243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 MAIN ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021519",
"telephone_number": "847-905-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 MAIN ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021519",
"telephone_number": "847-905-3000"
}
],
"practiceLocations": [
{
"address_1": "4621 N Sheridan Rd",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606405019",
"country_code": "US",
"telephone_number": "773-334-6601",
"fax_number": "773-334-3619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GRASMERE PLACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-20",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "ISRAEL",
"authorized_official_first_name": "LEVI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-905-3000"
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "IL",
"license": "0044271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grasmere Place",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.