Crystal Lake Memory Care, LLC
NPI 1164795308 · Assisted Living Facility · Crystal Lake, IL
Crystal Lake Memory Care, LLC is a Assisted Living Facility organization in Crystal Lake, IL (NPI 1164795308).
Provider details
- NPI number
- 1164795308
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Chad Anderson, President(214) 845-4500
- License
- 5102865 (IL)
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
- Autumn Leaves of Crystal Lake
Registry dates
- Enumerated
- 2012-02-20
- Last updated
- 2012-02-20
Frequently asked questions
- What is Crystal Lake Memory Care, LLC's NPI number?
- Crystal Lake Memory Care, LLC's National Provider Identifier (NPI) is 1164795308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crystal Lake Memory Care, LLC?
- Crystal Lake Memory Care, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Crystal Lake Memory Care, LLC located?
- Crystal Lake Memory Care, LLC's practice location on file with NPPES is 495 Alexandra Blvd, Crystal Lake, IL 60014-8908.
- What is Crystal Lake Memory Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Crystal Lake Memory Care, LLC is (815) 459-7800.
- Who is the authorized official for Crystal Lake Memory Care, LLC?
- The authorized official listed on Crystal Lake Memory Care, LLC's NPPES record is Chad Anderson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crystal Lake Memory Care, LLC's NPI active?
- Yes — Crystal Lake Memory Care, LLC's NPI (1164795308) is active in the NPPES registry as of the last update on 2012-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.