Provider Demographics
NPI:1508937616
Name:CARING ASSISTIVE LIVING MANAGEMENT
Entity Type:Organization
Organization Name:CARING ASSISTIVE LIVING MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:ADAMS-ALSBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:708-833-8953
Mailing Address - Street 1:114 LINCOLN MALL DR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-2331
Mailing Address - Country:US
Mailing Address - Phone:708-833-8953
Mailing Address - Fax:708-248-7509
Practice Address - Street 1:114 LINCOLN MALL DR
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-2331
Practice Address - Country:US
Practice Address - Phone:708-833-8953
Practice Address - Fax:708-248-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-11
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL1394Medicare PIN