NPIMap

Organization Active NPI

Lifecarepros, LLC

  • In Home Supportive Care Agency
  • Gurnee, IL
National Provider Identifier
1174079867
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3001214 Issued in IL
Legal business name
LIFECAREPROS, LLC
Practice address
223 North Route 21
Gurnee, IL 60031
Phone
(847) 388-0014
Fax
(847) 268-4002
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Mr. Christopher RudynskiNPI 1568917086
Title
Owener
Phone
(224) 343-5093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3001214 IL Primary

Addresses

Primary practice location

223 North Route 21
Gurnee, IL 60031

Mailing address

1345 110TH St
Pleasant Prairie, WI 53158-4527
Phone (224) 343-5093

Other names 1

  • Synergy HomeCare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1174079867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 110TH ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531584527",
            "telephone_number": "224-343-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 NORTH ROUTE 21",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-388-0014",
            "fax_number": "847-268-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECAREPROS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "RUDYNSKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "224-343-5093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.