Life Styles LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3000163 Issued in IL

Legal business name

LIFE STYLES LLC.

Practice address

735 Industrial Dr
Unit C
Cary, IL 60013-1961

Phone

(847) 462-0303

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert Koch

Title

Director

Phone

(847) 462-0303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1548534779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 INDUSTRIAL DR",
            "address_2": "UNIT C",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131961",
            "telephone_number": "847-462-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 INDUSTRIAL DR",
            "address_2": "UNIT C",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131961",
            "telephone_number": "847-462-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STYLES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-462-0303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LIC. HOME SERVICE WORKER",
            "identifier": "3000163",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Cary, IL
• Providers in Cary, 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 Mar 6, 2012; 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.