Eldercare Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0023317 Issued in IL

Legal business name

ELDERCARE INC

Practice address

3523 Wickenhauser Ave
Alton, IL 62002-2199

Phone

(618) 465-8887

Fax

(618) 465-1811

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Steven C Wolf

Title

President

Phone

(618) 234-2273

Specialties & licenses 2

Addresses

Other names 1

• Eldercare of Alton Doing business as

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699757708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 FRANK SCOTT PKWY W",
            "address_2": "SUITE 820",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235007",
            "telephone_number": "618-234-2273",
            "fax_number": "618-234-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 WICKENHAUSER AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620022199",
            "telephone_number": "618-465-8887",
            "fax_number": "618-465-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-234-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "14D06992611",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0023317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eldercare of Alton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Steven Edwards, M.D.
• Angela Catherine Effinger
• Carmen Ehlers
• Matthew Ehrhardt, PHARM D.
• Ibrahim B.I. Elayyan, MD
• Eldercare, Inc
• Ali Sherif Eldin, MD
• Madyson Eller, CCC-SLP
• Natalie Elliott
• Alyssa Embick

• Skilled Nursing Facility in Alton, IL
• Providers in Alton, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.