# CARETENDERS VISITING SERVICES OF SOUTHERN ILLINOIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mederi Caretenders
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770652919
- **Authorized official:** MR. MARCUS MACIP (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (337) 233-1307

## Contact information

- **Practice address:** 141 MARKET PL STE 110, FAIRVIEW HEIGHTS, IL 62208-2034
- **Practice address phone:** (618) 277-8899
- **Practice address fax:** (618) 277-8628
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 443-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 04/10/2023