# PROVIDE A CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083837637
- **Authorized official:** CARMENCITA AGNO RN (DIRECTOR)
- **Authorized official phone:** (773) 326-6860

## Contact information

- **Practice address:** 500 E HIGGINS RD, SUITE 207, ELK GROVE VILLAGE, IL 60007-1400
- **Practice address phone:** (773) 326-6860
- **Practice address fax:** (847) 690-1539
- **Mailing address:** 500 E HIGGINS RD, SUITE 207, ELK GROVE VILLAGE, IL 60007-1400
- **Mailing address phone:** (773) 326-6860
- **Mailing address fax:** (847) 690-1539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010653 | IL | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 09/23/2011