Organization Active NPI

Senior Lifestyle Solutions, LTD.

  • In Home Supportive Care Agency
  • Crystal Lake, IL
National Provider Identifier
1215703707
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SENIOR LIFESTYLE SOLUTIONS, LTD.
Practice address
282 Memorial CT Ste a
Crystal Lake, IL 60014-6277
Phone
(815) 534-1608
NPI assigned
Nov 27, 2023
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SENIOR LIFESTYLE SOLUTIONS, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Evan James Teator
Title
Administrator
Phone
(815) 534-1608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

282 Memorial CT Ste a
Crystal Lake, IL 60014-6277

Mailing address

282 Memorial CT Ste a
Crystal Lake, IL 60014-6277
Phone (815) 345-1608

National Provider Directory

National Provider Directory
Part of
Senior Lifestyle Solutions

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1215703707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MEMORIAL CT STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146277",
            "telephone_number": "815-345-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MEMORIAL CT STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146277",
            "telephone_number": "815-534-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIFESTYLE SOLUTIONS, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR LIFESTYLE SOLUTIONS, LTD.",
        "enumeration_date": "2023-11-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "TEATOR",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-534-1608"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.