Sullivan Senior Living LLC
Assisted Living Facility in Sullivan, IL. Organization (NPI-2).
NPI number1497582902
StatusActive
Last updated in NPPESSep 24, 2026
Details
- NPI
- 1497582902
- Entity type
- Organization (NPI-2)
- Legal business name
- Sullivan Senior Living LLC
- Organization subpart
- No
- Enumeration date
- Sep 18, 2024
- Certification date
- Sep 24, 2026
- Last updated
- Sep 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Heritage Woods Of Sullivan (Doing Business As)
Practice location
20 Courtyard BlvdSullivan, IL 61951-7001
Phone 217-728-4300
Mailing address
200 E Court St Ste 400Kankakee, IL 60901-3848
Phone 815-935-1992 · Fax 815-935-8380
Authorized official
Greg Echols
Co-Ceo Of Management Agent
7792165849
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