Organization Active NPI

Living Essentials Home Care Services LLC

  • In Home Supportive Care Agency
  • Edwardsville, IL
National Provider Identifier
1255292116
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVING ESSENTIALS HOME CARE SERVICES LLC
Practice address
101 W Vandalia St Ste 125
Office 122
Edwardsville, IL 62025-1949
Phone
(618) 789-0221
Fax
(618) 551-8160
NPI assigned
Nov 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Authorized official

Name
Keneishia ElijahNPI 1144649591
Title
Owner, President, Administrator
Phone
(618) 789-0221

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 Primary

Addresses

Primary practice location

101 W Vandalia St Ste 125
Office 122
Edwardsville, IL 62025-1949

Mailing address

101 W Vandalia St Ste 125
Edwardsville, IL 62025-1949
Phone (618) 789-0221

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": "1763596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763596800000",
    "number": "1255292116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W VANDALIA ST STE 125",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251949",
            "telephone_number": "618-789-0221",
            "fax_number": "618-551-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W VANDALIA ST STE 125",
            "address_2": "OFFICE 122",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251949",
            "telephone_number": "618-789-0221",
            "fax_number": "618-551-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING ESSENTIALS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "ELIJAH",
        "authorized_official_first_name": "KENEISHIA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, ADMINISTRATOR",
        "authorized_official_telephone_number": "618-789-0221"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.