Forever Life Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FOREVER LIFE CARE INC

Doing business as

Forever Life Care

Practice address

6600 N Lincoln Ave Ste 235
Lincolnwood, IL 60712-3627

Phone

(847) 468-5757

Fax

(847) 724-5030

NPI assigned

Nov 15, 2021

Organization subpart

No

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

Authorized official

Name

Soeung San

Title

President

Phone

(847) 468-5757

Specialties & licenses 2

Addresses

Other names 1

• FOREVER LIFE CARE Doing business as

Locations

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1518623560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AVE STE 235",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123627",
            "telephone_number": "847-468-5757",
            "fax_number": "847-724-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N LINCOLN AVE STE 235",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123627",
            "telephone_number": "847-468-5757",
            "fax_number": "847-724-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER LIFE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "SAN",
        "authorized_official_first_name": "SOEUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-468-5757"
    },
    "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": [
        {
            "organization_name": "FOREVER LIFE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FOREVER LIFE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.