ARTHUR DUPREE CARSON (NPI# 1104210533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104210533 |
| Entity Type | Individual |
| Full Name | ARTHUR DUPREE CARSON |
| Credential | C.O.T.A./L |
| Practice Address |
3703 W Lake Ave Ste 200 Glenview IL 60026-1266 |
| Mailing Address |
7653 S Bishop St Apt 1s Chicago IL 60620-4126 |
| Practice Telephone | 8479981188 |
| Mailing Telephone | 7737236180 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
057.000457 | IL | Nursing & Custodial Care Facilities |
| Street Address |
3703 W LAKE AVE STE 200 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60026-1266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346436821 | Jodi Despoy | Physical Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2007-09-19 |
| 1992279368 | Wilson Nuqui De Leon | Occupational Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2019-01-18 |
| 1003263278 | Eunice Sison | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-05-18 |
| 1548616436 | Marthe Celis | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-05-10 |
| 1073976627 | Roy Guevarra | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-03-31 |
| 1356700520 | Maria Calara | Occupational Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-02-16 |
| 1619335767 | Ronald Go | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-02-03 |
| 1134587561 | Urszula Vetrisek | Physical Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2016-01-30 |
| 1750755237 | Pamela Olachi Osisioma | Occupational Therapist | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2015-11-19 |
| 1477924777 | Margi Shah | Physical Therapy Assistant | 3703 W Lake Ave Ste 200, Glenview, IL 60026-1266 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322091 | Aven Dones | Occupational Therapy Assistant | 2600 W Compass Dr, Glenview, IL 60026 | 2020-09-24 |
| 1528670692 | Help and Healing Center LLC | Psychologist | 2500 Patriot Boulevard, Suite 250, Glenview, IL 60026 | 2020-08-20 |
| 1487288577 | Susan D Taylor | Physical Therapy Assistant | Select Rehabilitation, Lls, 2600 Compass Road, Glenview, IL 60026 | 2020-02-27 |
| 1952868135 | Beltone Holdings IIi, Inc. | Hearing Instrument Specialist | 2601 Patriot Boulevard, Attn: Lisa Ginensky, Glenview, IL 60026 | 2019-02-25 |
| 1588145007 | Trislyn Deett Palmer | Occupational Therapist | Select Rehab, 2600 Compass Road, Glenview, IL 60026 | 2018-08-23 |
| 1528579901 | Julia Elizabeth Sames | Physician Assistant | 2701 Patriot Blvd Ste 110, Glenview, IL 60026 | 2017-10-12 |
| 1316474711 | Tru Impact Healthcare Sc | Internal Medicine | 2150 Pfingsten Rd Ste 2200, Glenview, IL 60026 | 2017-05-16 |
| 1700251519 | Okoon Psychology Group PC | Clinical Neuropsychologist | 3633 W. Lake Avenue, Suite 406, Evanston, IL 60026 | 2015-12-04 |
| 1497136642 | Nayantara S. Orekondy | Internal Medicine | 2100 Pfingsten Rd # 3001a, Glenview, IL 60026 | 2015-06-13 |
| 1154745792 | Eleanor Finney Vita | Occupational Therapist | 3703 W. Lake Ave, Suite 200, Glenview, IL 60026 | 2014-02-18 |
| Find all providers in zip 60026 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954099 | State of Illinois Department of Human Services | Custodial Care Facility | 10724 S Indiana Ave, Chicago, IL 60628-3615 | 2016-10-24 |
| 1215302583 | Epilepsy Foundation of Greater Southern Illinois | Custodial Care Facility | 3515 N Belt W, Belleville, IL 62226-5944 | 2015-12-11 |
| 1316334907 | Dean Homecare LLC | Custodial Care Facility | 6604 N Ashland Ave, 3 J, Chicago, IL 60626-4151 | 2015-04-21 |
| 1881015329 | St Clair Supportive Living Lp | Custodial Care Facility | 921 Knollwood Village Rd, Caseyville, IL 62232-1808 | 2013-12-31 |
| 1700100971 | Good Shepherd Manor, Inc | Custodial Care Facility | 4129 N State Routes 1 & 17, Momence, IL 60954-0260 | 2010-03-17 |
| 1386895381 | Rickcare, LLC | Custodial Care Facility | 2490 County Road 550 E, Dewey, IL 61840-9725 | 2008-10-08 |
| 1689844912 | Parents and Friends of The Community Integration Services | Custodial Care Facility | 212 S. 32nd St, Belleville, IL 62226 | 2008-03-03 |
| 1568630390 | Halsted Shelter Care | Custodial Care Facility | 16044 Halsted St, Harvey, IL 60426-5201 | 2008-02-14 |
| 1326110594 | Jjr Enterprises Inc | Custodial Care Facility | 2025 Broadway St Ste B, Mount Vernon, IL 62864-2935 | 2006-11-14 |
| 1003805672 | Westmont Convalescent Center | Custodial Care Facility | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2005-10-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.