Healthcare Provider Details

I. General information

NPI: 1386572139
Provider Name (Legal Business Name): CAREPAKS HEALTH SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 SUSAN DR
NORMAL IL
61761-6142
US

IV. Provider business mailing address

209 SUSAN DR
NORMAL IL
61761-6142
US

V. Phone/Fax

Practice location:
  • Phone: 309-212-0221
  • Fax: 309-454-5000
Mailing address:
  • Phone: 309-212-0221
  • Fax: 309-454-5000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: CATHY EBO
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 309-454-1000