Carmen Colon, CFO
Individual provider Active NPI Homemaker · Chicago, IL
NPI 1740869726 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1740869726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- 3001954 (IL)
- Practice address
- 1301 S Ashland Ave
Chicago, IL 60608-1300 - Phone
- (312) 238-0308
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001954 | IL | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker |
376J00000X | 3001954 | IL | Yes |
Addresses
Primary practice location
1301 S Ashland Ave
Chicago, IL 60608-1300
Mailing address
1301 S Ashland Ave
Chicago, IL 60608-1300
Phone (312) 238-0308
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CARMEN@LIFELINEHOMECAREPROVIDERS.COM | Direct |
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.