Grand Prairie Assisted Living
NPI 1902240187 · Assisted Living Facility · Macomb, IL
Grand Prairie Assisted Living is a Assisted Living Facility organization in Macomb, IL (NPI 1902240187).
Provider details
- NPI number
- 1902240187
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Laverdiere, Owner(309) 837-1258
- License
- 5102790 (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
13 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
Registry dates
- Enumerated
- 2013-04-18
- Last updated
- 2013-04-18
Frequently asked questions
- What is Grand Prairie Assisted Living's NPI number?
- Grand Prairie Assisted Living's National Provider Identifier (NPI) is 1902240187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Prairie Assisted Living?
- Grand Prairie Assisted Living is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Grand Prairie Assisted Living located?
- Grand Prairie Assisted Living's practice location on file with NPPES is 1307 Meadowlark Ln, Macomb, IL 61455-7508.
- What is Grand Prairie Assisted Living's phone number?
- The practice phone number listed in the NPPES registry for Grand Prairie Assisted Living is (309) 833-5000.
- Who is the authorized official for Grand Prairie Assisted Living?
- The authorized official listed on Grand Prairie Assisted Living's NPPES record is Jack Laverdiere, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Prairie Assisted Living's NPI active?
- Yes — Grand Prairie Assisted Living's NPI (1902240187) is active in the NPPES registry as of the last update on 2013-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.