Healthcare Provider Details

I. General information

NPI: 1366438954
Provider Name (Legal Business Name): CARING FIRST INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 03/31/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 N 1ST ST
BREESE IL
62230-1735
US

IV. Provider business mailing address

1155 N 1ST ST
BREESE IL
62230-1735
US

V. Phone/Fax

Practice location:
  • Phone: 618-526-4521
  • Fax: 618-526-2833
Mailing address:
  • Phone: 618-526-4521
  • Fax: 618-526-2833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0036012
License Number StateIL

VIII. Authorized Official

Name: MARK HALLORAN
Title or Position: PRESIDENT
Credential:
Phone: 618-632-2500