OrganizationActive
Crystal Lake Memory Care, LLC
NPI 1164795308 · Assisted Living Facility · Crystal Lake, IL
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
Practice location
495 Alexandra Blvd
Crystal Lake, IL 60014-8908
Phone: (815) 459-7800
Fax: (815) 356-3066
Approximate (ZIP-level) locationGet directions
Mailing address
545 E John Carpenter Fwy
Irving, TX 75062-3931
Other names (DBA / former)
- Doing business as
- Autumn Leaves of Crystal Lake
Registry dates
- Enumerated
- 2012-02-20
- Last updated
- 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.