Plainfield Supportive Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PLAINFIELD SUPPORTIVE LIVING, LLC

Practice address

14731 S. Van Dyke Road
Plainfield, IL 60544

Phone

(815) 467-3800

NPI assigned

Mar 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Brian Nebel

Title

Administrator

Phone

(815) 267-3800

Specialties & licenses 1

Addresses

Other names 1

• Heritage Woods of Plainfield Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1982978219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14731 S. VAN DYKE ROAD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-467-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14731 S. VAN DYKE ROAD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60544",
            "telephone_number": "815-467-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD SUPPORTIVE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "NEBEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-267-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Woods of Plainfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Plainfield Fire Protection District
• Plainfield Ophthalmology, M.D., S.C.
• Plainfield Ophthalmology, M.D., S.C.
• Plainfield Pediatric Dental Care PC
• Plainfield School Dist 202
• Plainfield Surgery Center, LLC
• Platinum Pediatric Therapy, Inc.
• Kaitlyn Lea Platt
• Poindexter Therapy Services LLC
• Point Modern Nutrition, PLLC

• Assisted Living Facility in Plainfield, IL
• Providers in Plainfield, 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 Mar 5, 2012; 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.