ROCKFORD SLF LLC NPI 1962874289

NPI Information

ROCKFORD SLF, LLC is an assisted living facility in Rockford, IL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ROCKFORD SLF, LLC NPI is 1962874289. The provider is registered as an organization entity type.

The provider's business location address is:

2114 KISHWAUKEE ST
ROCKFORD, IL
ZIP 61104-099
Phone: (815) 966-1030

The provider's authorized official is Shimon Fink .
The authorized official title is Manager/member and has the following contact phone number (847) 679-7500.

The CLIA number assigned to this NPI record is 14D2203126 - other - supportive living with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2015 and was last updated on 10/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.