Healthcare Provider Details
I. General information
NPI: 1700715224
Provider Name (Legal Business Name): SARA CARE ILLINOIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
263 SHUMAN BLVD
NAPERVILLE IL
60563-7700
US
IV. Provider business mailing address
475 OBERLIN AVE S STE 203
LAKEWOOD NJ
08701-7024
US
V. Phone/Fax
- Phone: 517-428-0114
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YOSEF
TRESS
Title or Position: OWNER
Credential:
Phone: 732-927-7080