MEDICARE: ELEVATE ILLINOIS HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1023950565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE ILLINOIS HOME CARE LLC

Provider Business Mailing Address
First Line	:	9239 KENNETH AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-1617
Country	:	US
Telephone Number	:	773-710-5375
Fax Number	:	773-710-5375

Provider Business Practice Location Address
First Line	:	9239 KENNETH AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-1617
Country	:	US
Telephone Number	:	773-710-5375
Fax Number	:	773-710-5375

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PAMELA S COKER
Credential	:
Telephone Number	:	773-710-5375

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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