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NPI Code Detail

MEDICARE: CRIDERS LLC

MEDICARE: CRIDERS 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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1982561478
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRIDERS LLC
Provider Business Mailing Address
First Line : 718 4TH AVE
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61201-8305
Country : US
Telephone Number : 309-203-3332
Fax Number : 309-203-3332
Provider Business Practice Location Address
First Line : 718 4TH AVE
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61201-8305
Country : US
Telephone Number : 309-203-3332
Fax Number : 309-203-3332
Authorized Official
Title or Position : OWNER
Name : EMILLIE TORRES CRIDER
Credential :
Telephone Number : 309-235-9768
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “CRIDERS LLC ” Practice Location

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