Evergreen Place Decatur, LLC
NPI 1003188913 · Assisted Living Facility · Decatur, IL
Evergreen Place Decatur, LLC is a Assisted Living Facility organization in Decatur, IL (NPI 1003188913).
Provider details
- NPI number
- 1003188913
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Craig Ater, Exec Vp & Cfo(309) 823-7135
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Place Decatur Supportive Living
Registry dates
- Enumerated
- 2012-02-08
- Last updated
- 2012-02-17
Frequently asked questions
- What is Evergreen Place Decatur, LLC's NPI number?
- Evergreen Place Decatur, LLC's National Provider Identifier (NPI) is 1003188913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Place Decatur, LLC?
- Evergreen Place Decatur, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Place Decatur, LLC located?
- Evergreen Place Decatur, LLC's practice location on file with NPPES is 4825 E Evergreen Court, Decatur, IL 62521.
- What is Evergreen Place Decatur, LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Place Decatur, LLC is (217) 864-4300.
- Who is the authorized official for Evergreen Place Decatur, LLC?
- The authorized official listed on Evergreen Place Decatur, LLC's NPPES record is Craig Ater, Exec Vp & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Place Decatur, LLC's NPI active?
- Yes — Evergreen Place Decatur, LLC's NPI (1003188913) is active in the NPPES registry as of the last update on 2012-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.