ROCKFORD SUPPORTIVE LIVING (NPI# 1609907740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609907740 |
| Entity Type | Organization |
| Organization Name | ROCKFORD SUPPORTIVE LIVING |
| Practice Address |
2114 Kishwaukee St Rockford IL 61104-7099 |
| Mailing Address |
4711 Midlothian Tpke Suite 20 Crestwood IL 60445-4900 |
| Practice Telephone | 8159661030 |
| Practice Fax Number | 8159661090 |
| Mailing Telephone | 7083714507 |
| Mailing Fax Number | 7083711761 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICK FINN (MEMBER) |
| Authorized Official Telephone | 8472293400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
2114 KISHWAUKEE ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61104-7099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962874289 | Rockford Slf, LLC | Assisted Living Facility | 2114 Kishwaukee St, Rockford, IL 61104-7099 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216564 | Swedishamerican Hospital | Nutritionist | 1415 E. State St., Lower Level A3, Rockford, IL 61104 | 2017-03-13 |
| 1376950485 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 200, Rockford, IL 61104 | 2014-07-21 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1689729535 | Swedishamerican Hospital | Nurse Practitioner | 1340 Charles St Ste 100, Rockford, IL 61104 | 2007-01-23 |
| 1790873016 | David J Schleicher | Obstetrics & Gynecology | 209 9th St Ste 200, Rockford, IL 61104 | 2006-10-11 |
| 1013026624 | Thomas Ryan Moss | Dentist | 1415 E State Street, Rockford, IL 61104 | 2006-08-29 |
| 1366452096 | Arturo Santiago Manas | Obstetrics & Gynecology | 1415 E State St Fl 8, Rockford, IL 61104 | 2006-08-08 |
| 1245263268 | William John Stout | Physician Assistant | 1401 E State Street, Rockford, IL 61104 | 2006-07-10 |
| 1689604969 | Prabha Chand Dosi | Pediatrics | 1401 E. State Street, Rockford, IL 61104 | 2006-07-03 |
| Find all providers in zip 61104 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194108159 | Baruch Sls, Inc. | Assisted Living Facility | 4951 11 Mile Rd Ne, Rockford, MI 49341-8477 | 2015-07-08 |
| 1205093150 | Emeritus Corportation | Assisted Living Facility | 1545 Temple Ln, Rockford, IL 61112-1097 | 2008-05-19 |
| 1417142225 | Heritage Woods of Rockford | Assisted Living Facility | 202 N Show Place Dr, Rockford, IL 61107 | 2007-09-14 |
| 1265443915 | Alpine Fireside Health Center Ltd | Assisted Living Facility | 3650 North Alpine Road, Rockford, IL 61114-4806 | 2006-08-10 |
| 1902453962 | Snh Lincoln Tenant LLC | Assisted Living Facility | 7130 Crimson Ridge Dr, Rockford, IL 61107-6222 | 2019-08-23 |
| 1962874289 | Rockford Slf, LLC | Assisted Living Facility | 2114 Kishwaukee St, Rockford, IL 61104-7099 | 2015-10-26 |
| 1194013367 | Five Star Quality Care-il, LLC | Assisted Living Facility | 7130 Crimson Ridge Dr, Rockford, IL 61107-6222 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190504 | The Manor At Jerseyville Glen, Lp | Assisted Living Facility | 904b Estates Dr, Jerseyville, IL 62052-2377 | 2020-10-06 |
| 1861008872 | Franciscan Communities, Inc. | Assisted Living Facility | 15624 Marian Dr, Homer Glen, IL 60491-6271 | 2020-09-16 |
| 1447865118 | Oakley Courts Assisted Living Community | Assisted Living Facility | 3117 W Kunkle Blvd, Freeport, IL 61032-6943 | 2020-09-10 |
| 1083233076 | Marley Oaks Assisted Living Residence | Assisted Living Facility | 12631 187th St, Mokena, IL 60448-8731 | 2020-04-10 |
| 1447884630 | Cedarhurst of Quincy Operator, LLC | Assisted Living Facility | 319 S 48th St, Quincy, IL 62305-0593 | 2020-02-26 |
| 1164055323 | Cye Sullivan Hco, LLC | Assisted Living Facility | 20 Courtyard Blvd, Sullivan, IL 61951-7001 | 2020-02-17 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1841821014 | Generations At Oakton Arms, LLC | Assisted Living Facility | 1665 Oakton Pl, Des Plaines, IL 60018-6301 | 2020-01-28 |
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1275184889 | The Encore At The Twin Cities | Assisted Living Facility | 101 N Wacker Dr Ste 608, Chicago, IL 60606-1726 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.