Healthcare Provider Details

I. General information

NPI: 1023964749
Provider Name (Legal Business Name): JOYFUL SENIOR CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2420 S CANAL ST
CHICAGO IL
60616
US

IV. Provider business mailing address

2420 S CANAL ST
CHICAGO IL
60616
US

V. Phone/Fax

Practice location:
  • Phone: 312-763-6213
  • Fax: 312-763-6323
Mailing address:
  • Phone: 312-763-6213
  • Fax: 312-763-6323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HUAN YI FANG
Title or Position: MANAGING MEMBER
Credential:
Phone: 312-823-7770