Healthcare Provider Details

I. General information

NPI: 1356757942
Provider Name (Legal Business Name): WE CARE FOR YOU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2014
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7307 N. ALPINE ROAD SUITE A2
LOVES PARK IL
61115-1874
US

IV. Provider business mailing address

7307 N. ALPINE ROAD SUITE A2
LOVES PARK IL
61115-1874
US

V. Phone/Fax

Practice location:
  • Phone: 779-774-4683
  • Fax: 815-904-6432
Mailing address:
  • Phone: 779-774-4683
  • Fax: 815-904-6432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number000000000000000
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number4000390
License Number StateIL

VIII. Authorized Official

Name: JANDI JO JENKINS
Title or Position: EXECUTIVE DIRECTOR
Credential: LPN
Phone: 815-985-9724