Springfield Supportive Living

Springfield Supportive Living is a healthcare organization registered as Assisted Living Facility in Springfield, IL, holding Type 2 (organization) NPI 1821129974 since 2007. The authorized official on file is Mark Roeckell, Member.

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NPI	1821129974
Entity type	Organization (Type 2)
Legal business name	Springfield Supportive Living
Practice address	2034 E CLEAR LAKE AVE, Springfield, IL, 62703
Phone	2175228843
Fax	2175228803
Enumeration date	2007-03-08
Last updated in NPPES	2020-08-22

Authorized official

Name	Mark Roeckell
Title	Member
Phone	8472293400

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
310400000X	Assisted Living Facility	Primary	—	—

Copy-ready billing details

Provider: Springfield Supportive Living
NPI: 1821129974
Taxonomy: 310400000X (Assisted Living Facility)
Address: 2034 E CLEAR LAKE AVE, Springfield, IL, 62703

Verify this record

Cross-check NPI 1821129974 against the authoritative CMS record: view Springfield Supportive Living on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Springfield Supportive Living located?

The practice location on file with NPPES is in Springfield, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.