Provider Demographics
NPI:1184039430
Name:CARE PLUS OUTPATIENT THERAPY INC.
Entity Type:Organization
Organization Name:CARE PLUS OUTPATIENT THERAPY INC.
Other - Org Name:VERTEX OUTPATIENT THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LOVELY
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYNES
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:630-776-3297
Mailing Address - Street 1:8118 N MILWAUKEE AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2836
Mailing Address - Country:US
Mailing Address - Phone:630-776-3297
Mailing Address - Fax:
Practice Address - Street 1:8118 N MILWAUKEE AVE STE 107
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714
Practice Address - Country:US
Practice Address - Phone:847-430-3590
Practice Address - Fax:847-653-6298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224Z00000X, 225200000X, 225X00000X
IL261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty