| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1003188913 | | | | EVERGREEN PLACE DECATUR, LLC | 115 W JEFFERSON ST STE 401 | BLOOMINGTON | IL | 617013967 |
| 1295980852 | | | | EVERGREEN STREATOR, L.P. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1376798777 | | | | EVERGREEN LITCHFIELD, L.P. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1447429378 | | | | MCLEAN COUNTY ASSISTED LIVING FACILITY, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1629247283 | | | | MCLEAN COUNTY ASSISTED LIVING, L.L.C. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1710156609 | | | | HERITAGE ENTERPRISES, INC. | 115 W JEFFERSON ST | BLOOMINGTON | IL | 617013946 |
| 1821317041 | | | | CASTLE MANOR | 115 W JEFFERSON ST STE 401 | BLOOMINGTON | IL | 617013967 |