Healthcare Provider Details

I. General information

NPI: 1417811316
Provider Name (Legal Business Name): HIGH POINT RESIDENCE MONMOUTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 W BROADWAY
MONMOUTH IL
61462-1679
US

IV. Provider business mailing address

7383 N LINCOLN AVE STE 200
LINCOLNWOOD IL
60712-1749
US

V. Phone/Fax

Practice location:
  • Phone: 847-676-1700
  • Fax:
Mailing address:
  • Phone: 847-676-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN ADAMS
Title or Position: VP REVENUE CYCLE
Credential:
Phone: 847-676-1700