Healthcare Provider Details

I. General information

NPI: 1154789584
Provider Name (Legal Business Name): LIVERIGHT SENIOR CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2016
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4517 W 100TH PL
OAK LAWN IL
60453-4115
US

IV. Provider business mailing address

3327 W 115TH ST
MERRIONETTE PARK IL
60803-4556
US

V. Phone/Fax

Practice location:
  • Phone: 708-786-8600
  • Fax: 815-346-3381
Mailing address:
  • Phone: 708-786-8600
  • Fax: 708-786-8699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number3000589
License Number StateIL

VIII. Authorized Official

Name: MS. BARBARA A OBRIEN
Title or Position: OWNER
Credential:
Phone: 708-786-8600