Provider Demographics
NPI:1346334265
Name:CARING TREE, LLC.
Entity type:Organization
Organization Name:CARING TREE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARICEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-326-6849
Mailing Address - Street 1:3242 N PULASKI RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4732
Mailing Address - Country:US
Mailing Address - Phone:773-326-6849
Mailing Address - Fax:773-202-7829
Practice Address - Street 1:3242 N PULASKI RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4732
Practice Address - Country:US
Practice Address - Phone:773-326-6849
Practice Address - Fax:773-202-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010528251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1010528OtherSTATE OF ILL DEPT OF PUBL
IL1010528OtherSTATE OF ILL DEPT OF PUBL