Organization Active NPI

Elc Healthcare, LLC

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1306868369
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IL1010401 Issued in IL
Legal business name
ELC HEALTHCARE, LLC
Practice address
1925 N Harlem Ave
#108
Chicago, IL 60707-3743
Phone
(708) 383-2191
Fax
(708) 383-2509
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Miss Maria Evelina Cruz, RN
Title
President
Phone
(708) 383-2191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL1010401 IL Primary

Addresses

Primary practice location

1925 N Harlem Ave
#108
Chicago, IL 60707-3743

Mailing address

1925 N Harlem Avenue
#108
Chicago, IL 60707-1059
Phone (708) 383-2191

National Provider Directory

National Provider Directory

Locations

1925 N Harlem Ave
#108
Chicago, IL 60707
Phone (708) 383-2191

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1306868369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 N HARLEM AVENUE",
            "address_2": "#108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607071059",
            "telephone_number": "708-383-2191",
            "fax_number": "708-383-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 N HARLEM AVE",
            "address_2": "#108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073743",
            "telephone_number": "708-383-2191",
            "fax_number": "708-383-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELC HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EVELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-383-2191",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1010401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.