NPI Code Details Logo

NPI 1427813054

NPI 1427813054 : ILLINOIS ACTIONS FOR SENIORS : ORLAND PARK, IL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1427813054
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ILLINOIS ACTIONS FOR SENIORS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/13/2024
-----------------------------------------------------
    Last Update Date     |    12/03/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11508 183RD PL STE SE 
-----------------------------------------------------
    City                 |    ORLAND PARK
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60467-9453
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    815-277-9319
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    11508 183RD PL STE SE 
-----------------------------------------------------
    City                 |    ORLAND PARK
-----------------------------------------------------
    State                |    IL
-----------------------------------------------------
    Zip                  |    60467-9453
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    312-522-2099
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     TIFFANY P BURNHAM 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    815-277-9319
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    174200000X
-----------------------------------------------------
    Taxonomy Name        |    Meals Provider
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    376J00000X
-----------------------------------------------------
    Taxonomy Name        |    Homemaker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    347C00000X
-----------------------------------------------------
    Taxonomy Name        |    Private Vehicle
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.