Eldercare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0023317 Issued in IL

Legal business name

ELDERCARE, INC

Practice address

3523 Wickenhauser
Alton, IL 62002-2199

Phone

(618) 465-8887

Fax

(618) 465-1811

NPI assigned

Dec 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Steven C. Wolf

Title

President

Phone

(618) 234-2273

Specialties & licenses 3

Addresses

Other names 1

• Eldercare of Alton Doing business as

Tax ID family

Calvin Johnson Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eldercare, Inc.

  • Skilled Nursing Facility
  • Belleville, IL
  • NPI 1902051154
  NPD tax ID

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1285889436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PARKWAY WEST",
            "address_2": "SUITE 820",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235007",
            "telephone_number": "618-234-2273",
            "fax_number": "618-234-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 WICKENHAUSER",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620022199",
            "telephone_number": "618-465-8887",
            "fax_number": "618-465-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-234-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D06992611",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0023317",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "0023317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldercare of Alton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Catherine Effinger
• Carmen Ehlers
• Matthew Ehrhardt, PHARM D.
• Ibrahim B.I. Elayyan, MD
• Eldercare Inc
• Ali Sherif Eldin, MD
• Madyson Eller, CCC-SLP
• Natalie Elliott
• Alyssa Embick
• Michael John Emmerling, MD

• Skilled Nursing Facility in Alton, IL
• Providers in Alton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.