Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crystal Lake Memory Care, LLC

Organization Assisted Living Facility · NPI 1164795308

Crystal Lake Memory Care, LLC is an Assisted Living Facility in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

495 Alexandra Blvd
Crystal Lake, IL 60014-8908
Phone: (815) 459-7800
Fax: (815) 356-3066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 5102865 (IL)

Record details

NPI number1164795308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chad Anderson — President · (214) 845-4500
Other names Autumn Leaves Of Crystal Lake
NPI enumeratedFebruary 20, 2012
Last updated in NPPESFebruary 20, 2012
Mailing address545 E John Carpenter Fwy, Suite 500, Irving, TX 75062-3931