OrganizationActive
222 State Street Properties, LLC
NPI 1134557846 · Assisted Living Facility · Champaign, IL
Provider details
- NPI number
- 1134557846
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Cross, Executive Director(217) 903-5900
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
222 N State St
Champaign, IL 61820-3937
Phone: (217) 903-5900
Fax: (217) 378-6829
Approximate (ZIP-level) locationGet directions
Mailing address
222 N State St
Champaign, IL 61820-3937
Other names (DBA / former)
- Doing business as
- Eden Champaign
Registry dates
- Enumerated
- 2013-10-16
- Last updated
- 2013-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.