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

Downers Grove Supportive Living LLC

Organization Assisted Living Facility · NPI 1073069209

Downers Grove Supportive Living LLC is an Assisted Living Facility in Downers Grove, Illinois. Registered with an NPI since 2016.

In the registry since
2016
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

4200 Lacey Rd
Downers Grove, IL 60515
Phone: (630) 964-7720
Fax: (630) 964-4229
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1073069209
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joellen Bleavins — President Of Management Agent · (815) 935-1992
Other names Lacey Creek Supportive Living
NPI enumeratedAugust 28, 2016
Last updated in NPPESAugust 28, 2016
Mailing address4200 Lacey Road, Downers Grove, IL 60515