OrganizationActive
Grand Victorian of Sycamore, LLC
NPI 1154527810 · Point of Service · Sycamore, IL
Grand Victorian of Sycamore, LLC is a Point of Service organization in Sycamore, IL (NPI 1154527810).
Provider details
- NPI number
- 1154527810
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- John Holtz, Controller(541) 747-3373
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1440 Somonauk St
Sycamore, IL 60178-2916
Phone: (815) 895-1900
Fax: (815) 895-1901
Street-level locationGet directions
Mailing address
78 Centennial Loop
Eugene, OR 97401-7900
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2008-05-13
Frequently asked questions
- What is Grand Victorian of Sycamore, LLC's NPI number?
- Grand Victorian of Sycamore, LLC's National Provider Identifier (NPI) is 1154527810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Victorian of Sycamore, LLC?
- Grand Victorian of Sycamore, LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is Grand Victorian of Sycamore, LLC located?
- Grand Victorian of Sycamore, LLC's practice location on file with NPPES is 1440 Somonauk St, Sycamore, IL 60178-2916.
- What is Grand Victorian of Sycamore, LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Victorian of Sycamore, LLC is (815) 895-1900.
- Who is the authorized official for Grand Victorian of Sycamore, LLC?
- The authorized official listed on Grand Victorian of Sycamore, LLC's NPPES record is John Holtz, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Victorian of Sycamore, LLC's NPI active?
- Yes — Grand Victorian of Sycamore, LLC's NPI (1154527810) is active in the NPPES registry as of the last update on 2008-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.