Organization Active NPI

Care for Life Home Nursing Inc

  • Nursing Care Agency
  • South Elgin, IL
National Provider Identifier
1033836945
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
CARE FOR LIFE HOME NURSING INC
Practice address
182 Melrose Ave Ste 1
South Elgin, IL 60177-1646
Phone
(847) 214-3633
Fax
(847) 214-3634
NPI assigned
Oct 21, 2022
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ramon Pacheco
Title
Vice President
Phone
(847) 214-3633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X NU Primary

Addresses

Primary practice location

182 Melrose Ave Ste 1
South Elgin, IL 60177-1646

Mailing address

182 Melrose Ave Ste 1
South Elgin, IL 60177-1646
Phone (847) 214-3633

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1033836945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MELROSE AVE STE 1",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771646",
            "telephone_number": "847-214-3633",
            "fax_number": "847-214-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MELROSE AVE STE 1",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771646",
            "telephone_number": "847-214-3633",
            "fax_number": "847-214-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR LIFE HOME NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-214-3633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.