Provider Demographics
NPI:1326436916
Name:CARE NURSING LLC
Entity Type:Organization
Organization Name:CARE NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-505-4089
Mailing Address - Street 1:1761 GLENVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2949
Mailing Address - Country:US
Mailing Address - Phone:847-505-4089
Mailing Address - Fax:847-724-2840
Practice Address - Street 1:1761 GLENVIEW RD
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2949
Practice Address - Country:US
Practice Address - Phone:847-505-4089
Practice Address - Fax:847-724-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL4000452251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4000452OtherILLINOIS DEPARTMENT OF PUBLIC HEALTH HOME NURSING AGENCY LICENSE