Organization Active NPI

Evanston Carenow Homecare, LLC

  • In Home Supportive Care Agency
  • Evanston, IL
National Provider Identifier
1588238802
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVANSTON CARENOW HOMECARE, LLC
Practice address
1810 Lake St
Evanston, IL 60201-4068
Phone
(847) 563-0295
Fax
(847) 563-3331
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Tracy I JacksonNPI 1871894899
Title
President
Phone
(847) 563-0295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1810 Lake St
Evanston, IL 60201-4068

Mailing address

1810 Lake St
Evanston, IL 60201-4068
Phone (847) 563-0295

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.evanstoncarenow.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1588238802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 LAKE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014068",
            "telephone_number": "847-563-0295",
            "fax_number": "847-563-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LAKE ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014068",
            "telephone_number": "847-563-0295",
            "fax_number": "847-563-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON CARENOW HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-563-0295"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evanstoncarenow.com",
            "affiliation": "N",
            "address_1": "1810 Lake St",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602014068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.