Downers Grove Supportive Living LLC
NPI 1073069209 · Assisted Living Facility · Downers Grove, IL
Downers Grove Supportive Living LLC is a Assisted Living Facility organization in Downers Grove, IL (NPI 1073069209).
Provider details
- NPI number
- 1073069209
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Joellen Bleavins, President of Management Agent(815) 935-1992
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
9 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
- Lacey Creek Supportive Living
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 2016-08-28
Frequently asked questions
- What is Downers Grove Supportive Living LLC's NPI number?
- Downers Grove Supportive Living LLC's National Provider Identifier (NPI) is 1073069209, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Downers Grove Supportive Living LLC?
- Downers Grove Supportive Living LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Downers Grove Supportive Living LLC located?
- Downers Grove Supportive Living LLC's practice location on file with NPPES is 4200 Lacey Road, Downers Grove, IL 60515.
- What is Downers Grove Supportive Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Downers Grove Supportive Living LLC is (630) 964-7720.
- Who is the authorized official for Downers Grove Supportive Living LLC?
- The authorized official listed on Downers Grove Supportive Living LLC's NPPES record is Joellen Bleavins, President of Management Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Downers Grove Supportive Living LLC's NPI active?
- Yes — Downers Grove Supportive Living LLC's NPI (1073069209) is active in the NPPES registry as of the last update on 2016-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.