Healthcare Provider Details

I. General information

NPI: 1700480712
Provider Name (Legal Business Name): CARE PLUS NURSING AND REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 E BUSINESS CENTER DRIVE SUITE 105
MT. PROSPECT IL
60056
US

IV. Provider business mailing address

411 E BUSINESS CENTER DRIVE SUITE 105
MT. PROSPECT IL
60056
US

V. Phone/Fax

Practice location:
  • Phone: 847-813-5352
  • Fax: 847-813-5890
Mailing address:
  • Phone: 847-813-5352
  • Fax: 847-813-5890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. LESLIE CARANDANG TIQUIA
Title or Position: PRESIDENT
Credential:
Phone: 224-848-9837