MEDICARE: ZACRE,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	310400000X	Assisted Living Facility	001	IL

General Provider Information

NPI Number	:	1346413879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZACRE,LLC

Provider Business Mailing Address
First Line	:	1996 FRANCISCAN WAY
Second Line	:
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-6232
Country	:	US
Telephone Number	:	630-562-4242
Fax Number	:	630-562-3593

Provider Business Practice Location Address
First Line	:	1996 FRANCISCAN WAY
Second Line	:
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-6232
Country	:	US
Telephone Number	:	630-562-4242
Fax Number	:	630-562-3593

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ZACHARY CLARK CAULKINS
Credential	:
Telephone Number	:	630-562-4242

Provider Enumeration Date	:	04/04/2008
Last Update Date	:	07/21/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1457612939 — AMERICAN REHAB GROUP INC.
Practice Location Address:

1996 FRANCISCAN WAY
WEST CHICAGO, IL
60185-6232

Practice Phone: 630-532-3697
Practice Fax:

1912475385 — ROBERT STRAUCH
Practice Location Address:

1996 FRANCISCAN WAY
WEST CHICAGO, IL
60185-6232

Practice Phone: 630-562-4242
Practice Fax:

1063431054 — WALMART INC.
Practice Location Address:

4570 S 4000 W
WEST VALLEY CITY, UT
84120-6232

Practice Phone: 801-969-1424
Practice Fax:

1568062081 — DAVID BRENT WEBB PHARMD
Practice Location Address:

4570 S 4000 W
WEST VALLEY CITY, UT
84120-6232

Practice Phone: 801-969-1424
Practice Fax: 801-969-8116

1023983293 — LATHIYA WILLIAMS
Practice Location Address:

900 WEST AVE
NEW CASTLE, DE
19720-6232

Practice Phone: 302-397-1621
Practice Fax:

Directions to “ZACRE,LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.