Healthcare Provider Details
I. General information
NPI: 1992403786
Provider Name (Legal Business Name): ELDER CARE NAVIGATORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2023
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
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
- Phone: 833-326-5273
- Fax:
- Phone: 833-326-5273
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
RIGGINS
Title or Position: OWNER
Credential:
Phone: 833-326-5273