National Provider Identifier Database

MCLEAN COUNTY ASSISTED LIVING LLC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

MCLEAN COUNTY ASSISTED LIVING, L.L.C.
1701 EVERGREEN VILLAGE BLVD
NORMAL, IL61761
Phone: 309-452-7300
Fax: 309-452-7311
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for MCLEAN COUNTY ASSISTED LIVING, L.L.C.

NPI Number 1629247283
Legal business name
LBN
MCLEAN COUNTY ASSISTED LIVING, L.L.C.
Authorized official CRAIG ATER - (SENIOR V. P. OF FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 02/27/2008
Last updated 08/06/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 205051684001

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MCLEAN COUNTY ASSISTED LIVING, L.L.C.

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