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

Springfield Supportive Living

Organization Assisted Living Facility · NPI 1821129974

Springfield Supportive Living is an Assisted Living Facility in Springfield, Illinois. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2034 E Clear Lake Ave
Springfield, IL 62703-1134
Phone: (217) 522-8843
Fax: (217) 522-8803
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 number1821129974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Roeckell — Member · (847) 229-3400
NPI enumeratedMarch 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4711 Midlothian Tpke, Suite 20, Crestwood, IL 60445-4900

Other providers in Springfield