MEDICARE: ELDERLY CARE CONNECTIONS, LLP

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1871947119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERLY CARE CONNECTIONS, LLP

Provider Business Mailing Address
First Line	:	432 THUNDER RDG
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-4827
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	432 THUNDER RDG
Second Line	:
City	:	LAKE IN THE HILLS
State	:	IL
Zip	:	60156-4827
Country	:	US
Telephone Number	:	224-424-3228
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANALIZA LEGASPI
Credential	:
Telephone Number	:	224-424-3228

Provider Enumeration Date	:	04/22/2016
Last Update Date	:	04/22/2016

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