Healthcare Provider Details

I. General information

NPI: 1841113289
Provider Name (Legal Business Name): MEANINGFUL CARE HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 3RD ST STE 305
ALTON IL
62002-6101
US

IV. Provider business mailing address

200 W 3RD ST STE 305
ALTON IL
62002-6101
US

V. Phone/Fax

Practice location:
  • Phone: 618-208-7059
  • Fax:
Mailing address:
  • Phone: 618-208-7059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHIRLEY JOHNSON
Title or Position: OWNER
Credential:
Phone: 618-447-7321