Healthcare Provider Details

I. General information

NPI: 1154157220
Provider Name (Legal Business Name): ELDER CARE NAVIGATORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOLIDAY PLAZA DR STE 176
MATTESON IL
60443-2236
US

IV. Provider business mailing address

1014 REGENT DR
MATTESON IL
60443-3089
US

V. Phone/Fax

Practice location:
  • Phone: 833-326-5273
  • Fax:
Mailing address:
  • Phone: 708-506-9401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MICHELLE RIGGINS
Title or Position: ADMINISTRATOR
Credential:
Phone: 708-506-9401