Provider Demographics
NPI:1467875880
Name:CS&L HEALTHCARE, LLC
Entity Type:Organization
Organization Name:CS&L HEALTHCARE, LLC
Other - Org Name:FIRSTLIGHT HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:G
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS
Authorized Official - Phone:224-880-6555
Mailing Address - Street 1:1580 S MILWAUKEE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3764
Mailing Address - Country:US
Mailing Address - Phone:224-880-6555
Mailing Address - Fax:224-338-2988
Practice Address - Street 1:1580 S MILWAUKEE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-3764
Practice Address - Country:US
Practice Address - Phone:224-880-6555
Practice Address - Fax:224-338-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000993253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care