MLM Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

3000144 Issued in IL

Legal business name

MLM HOMECARE

Practice address

14048 W Petronella Dr
Suite 102
Libertyville, IL 60048-9699

Phone

(847) 996-0888

Fax

(847) 996-0899

NPI assigned

Jan 8, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Lassiter

Title

Case Manager

Phone

(847) 996-0888

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Libertyville Doing business as

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1720476161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14048 W PETRONELLA DR",
            "address_2": "SUITE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489699",
            "telephone_number": "847-996-0888",
            "fax_number": "847-996-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14048 W PETRONELLA DR",
            "address_2": "SUITE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489699",
            "telephone_number": "847-996-0888",
            "fax_number": "847-996-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLM HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "847-996-0888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels Libertyville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Libertyville, IL
• Providers in Libertyville, 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 Jan 8, 2015; 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.