Healthcare Provider Details

I. General information

NPI: 1841117926
Provider Name (Legal Business Name): SISTERS ALLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 N MAIN ST STE 211B
COLUMBIA IL
62236-1755
US

IV. Provider business mailing address

207 N MAIN ST STE 211B
COLUMBIA IL
62236-1755
US

V. Phone/Fax

Practice location:
  • Phone: 833-747-8376
  • Fax: 618-744-6924
Mailing address:
  • Phone: 833-747-8376
  • Fax: 618-744-6924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANGELICA CROCKETT
Title or Position: OWNER
Credential:
Phone: 833-747-8376