Organization Active NPI

CS&L Healthcare, LLC

Doing business as FirstLight HomeCare

  • In Home Supportive Care Agency
  • Libertyville, IL
National Provider Identifier
1467875880
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000993 Issued in IL
Legal business name
CS&L HEALTHCARE, LLC
Doing business as
FirstLight HomeCare
Practice address
1580 S Milwaukee Ave
Suite 201
Libertyville, IL 60048-3764
Phone
(224) 880-6555
Fax
(224) 338-2988
NPI assigned
Jan 22, 2014
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Mrs. Stephanie G. Johnson, RN, BS
Title
Owner/President
Phone
(224) 880-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000993 IL Primary

Addresses

Primary practice location

1580 S Milwaukee Ave
Suite 201
Libertyville, IL 60048-3764

Mailing address

1580 S Milwaukee Ave
Suite 201
Libertyville, IL 60048-3764
Phone (224) 880-6555

Other practice location 1

3535 30th Ave Ste 205B
Kenosha, WI 53144-1632
Phone (224) 880-6555

Other names 1

  • FirstLight HomeCare Doing business as

National Provider Directory

National Provider Directory

Locations

1580 S Milwaukee Ave
Ste 201
Libertyville, IL 60048
Phone (224) 880-6555

3535 30th Ave
Ste 205B
Kenosha, WI 53144
Phone (224) 880-6555

NPI Registry JSON

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1467875880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "SUITE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483764",
            "telephone_number": "224-880-6555",
            "fax_number": "224-338-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "SUITE 201",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483764",
            "telephone_number": "224-880-6555",
            "fax_number": "224-338-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 30th Ave Ste 205B",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531441632",
            "country_code": "US",
            "telephone_number": "224-880-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CS&L HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "224-880-6555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.