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

Grand Prairie Assisted Living

Organization Assisted Living Facility · NPI 1902240187

Grand Prairie Assisted Living is an Assisted Living Facility in Macomb, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013

Practice location Address checks out

1307 Meadowlark Ln
Macomb, IL 61455-7508
Phone: (309) 833-5000
Fax: (309) 833-6410
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 5102790 (IL)

Record details

NPI number1902240187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Laverdiere — Owner · (309) 837-1258
NPI enumeratedApril 18, 2013
Last updated in NPPESApril 18, 2013
Mailing address1307 Meadowlark Ln, Macomb, IL 61455-7508

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