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

Prairie Village Supportive Living LLC

Organization Assisted Living Facility · NPI 1518339167

Prairie Village Supportive Living LLC is an Assisted Living Facility in Rantoul, Illinois. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 International Dr
Rantoul, IL 61866
Phone: (217) 892-2800
Fax: (217) 892-2833
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Alzheimer Center (Dementia Center) Taxonomy 311500000X

Record details

NPI number1518339167
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrairie Village Supportive Living LLC
Authorized official Joellen Bleavins — Vice President Of Management Agent · (815) 935-1992
NPI enumeratedOctober 22, 2015
Last updated in NPPESNovember 3, 2015
Mailing address200 International Drive, Rantoul, IL 61866

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