Healthcare Provider Details

I. General information

NPI: 1295405512
Provider Name (Legal Business Name): NORTH LIGHT CARE SERVICES LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 MAIN ST LOWR LEVELA
CRETE IL
60417-2131
US

IV. Provider business mailing address

1328 MAIN ST LOWR LEVELA
CRETE IL
60417-2131
US

V. Phone/Fax

Practice location:
  • Phone: 708-576-1191
  • Fax: 207-857-5127
Mailing address:
  • Phone: 708-576-1191
  • Fax: 207-857-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOANNA OLARTE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 847-468-4149