Crystal Lake Memory Care, LLC
NPI 1164795308ActiveOrganization· Assisted Living Facility· Crystal Lake, IL
Assisted Living Facility in Crystal Lake, Illinois, registered in NPPES in February 2012. The authorized official on file is Chad Anderson, President.
Overview
| NPI | 1164795308 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 20, 2012 |
| Last updated in NPPES | Feb 20, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 5102865 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|