Elderly Care Services of Dekalb County

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

U129601967 Issued in IL

Legal business name

ELDERLY CARE SERVICES OF DEKALB COUNTY

Practice address

1701 E Lincoln Hwy
Dekalb, IL 60115-3956

Phone

(815) 758-6550

Fax

(815) 758-4239

NPI assigned

Oct 2, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Russo, M.S.

Title

Executive Director

Phone

(815) 758-6550

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee William Scott, LCSW

  • Clinical Social Worker
  • Dekalb, IL
  • NPI 1306434618
  NPD

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1134599129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E LINCOLN HWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153956",
            "telephone_number": "815-758-6550",
            "fax_number": "815-758-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E LINCOLN HWY",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601153956",
            "telephone_number": "815-758-6550",
            "fax_number": "815-758-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY CARE SERVICES OF DEKALB COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-758-6550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "U129601967",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Psychiatry LLC
• Kara Dziedzic
• Haley Earle
• Jay Roser Ebbesen, OD
• Katie Eich, APN, FNP-BC
• Corissa Janelle Elgar, M.D.
• Michael William Elgersma, LCPC
• Elgin Laboratory Physicians, LTD.
• Amy Beth Elliott, RPH
• Stephanie Knight Englund, LSW, CADC

• Case Management Agency in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.