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NPI Code Detail

MEDICARE: THE CONCIERGE CARE GROUP CORPORATION

MEDICARE: THE CONCIERGE CARE GROUP CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2253Z00000XIn Home Supportive Care Agency
3251J00000XNursing Care Agency

General Provider Information

NPI Number : 1760299416
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE CONCIERGE CARE GROUP CORPORATION
Provider Business Mailing Address
First Line : 17920 GLEN OAK AVE
Second Line :
City : LANSING
State : IL
Zip : 60438-2128
Country : US
Telephone Number : 773-458-9184
Fax Number :
Provider Business Practice Location Address
First Line : 17920 GLEN OAK AVE
Second Line :
City : LANSING
State : IL
Zip : 60438-2128
Country : US
Telephone Number : 773-458-9184
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : KRYSTAL LYNN GOINS
Credential :
Telephone Number : 773-794-2338
Provider Enumeration Date : 12/16/2024
Last Update Date : 03/11/2026

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Directions to “THE CONCIERGE CARE GROUP CORPORATION ” Practice Location

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