OrganizationActive
Grand Victorian of Sycamore
NPI 1972264349 · Assisted Living Facility · Sycamore, IL
Provider details
- NPI number
- 1972264349
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- Well Path Tenant, LLC
- Organization subpart
- Yes
- Authorized official
- Jerome Finis, Manager(847) 274-9596
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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) 739-2253
Street-level locationGet directions
Mailing address
200 E Court St Ste 400
Kankakee, IL 60901-3848
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.