Prairie Village Supportive Living LLC
NPI 1518339167ActiveOrganization· Assisted Living Facility· Rantoul, IL
Assisted Living Facility in Rantoul, Illinois, registered in NPPES in October 2015, part of Prairie Village Supportive Living LLC. The authorized official on file is Joellen Bleavins, Vice President Of Management Agent.
Overview
| NPI | 1518339167 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prairie Village Supportive Living LLC |
| NPI issued | Oct 22, 2015 |
| Last updated in NPPES | Nov 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
| Alzheimer Center (Dementia Center) | 311500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Assisted Living Facility providers in Rantoul
- 1528652971
- 1871312033
- 1245489855
- 1396133658