SPRINGFIELD ELDER CARE LLC NPI 1386950764

NPI Information

  • NPI: 1386950764
  • Provider Name: SPRINGFIELD ELDER CARE, LLC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Organization
  • Address: 1808 S BATES AVE
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (217) 741-4304

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NPI Details

SPRINGFIELD ELDER CARE, LLC is a gerontology nurse practitioner in Springfield, IL. SPRINGFIELD ELDER CARE, LLC NPI is 1386950764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1808 S BATES AVE
SPRINGFIELD, IL
ZIP 62704-354
Phone: (217) 741-4304

The provider's authorized official is Elizabeth Dianne Carlson .
The authorized official title is Owner and has the following contact phone number (217) 741-4304.

The enumeration date for this NPI number is 8/24/2010 and was last updated on 8/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology209006847ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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