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NPI Code Detail

MEDICARE: LIFE SENIOR CARE LLC

MEDICARE: LIFE SENIOR 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1386533891
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIFE SENIOR CARE LLC
Provider Business Mailing Address
First Line : 640 S WASHINGTON ST STE 212
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6789
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 640 S WASHINGTON ST STE 212
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6789
Country : US
Telephone Number : 630-868-9930
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : MARICEL TAN
Credential :
Telephone Number : 630-656-4068
Provider Enumeration Date : 06/30/2025
Last Update Date : 06/30/2025

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Directions to “LIFE SENIOR CARE LLC ” Practice Location

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