IHCC LLC (NPI# 1043732373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043732373 |
| Entity Type | Organization |
| Organization Name | IHCC LLC |
| Other Organization Name | IN-HOME CARE CONNECTION |
| Practice Address |
680 W Peru St Princeton IL 61356-6803 |
| Mailing Address |
Po Box 57 Princeton IL 61356-0057 |
| Practice Telephone | 8158727447 |
| Mailing Telephone | 8153430572 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | KIMBERLY PARK (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 8158727447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | 3001523 | IL | Agencies |
| Y | 251E00000X | Home Health | 4000549 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDPH HOME SERVICES AGENCY | 3001523 | 01 |
| Other Name | Type Code |
|---|---|
| In-Home Care Connection | Doing Business As Name - Organization |
| Street Address |
680 W PERU ST |
| City | PRINCETON |
| State | IL |
| Zip Code | 61356-6803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525243 | Ihcc Hospice Inc | Hospice Care, Community Based | 680 W Peru St, Princeton, IL 61356-6803 | 2020-10-12 |
| 1518582584 | Ashton Prince | Occupational Therapy Assistant | 680 W Peru St, Princeton, IL 61356-6803 | 2020-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548698558 | Shelley Gorenz | Counselor | 1009 S. Main St., Princeton, IL 61356 | 2013-10-30 |
| 1780016626 | Jennifer Phillips | Pharmacist | 610 N. Main St., Princeton, IL 61356 | 2013-08-02 |
| 1477848521 | Princeton Prompt Care LLC | Clinic/Center | 2128 North Main Street, Princeton, IL 61356 | 2011-06-16 |
| 1306014196 | Lifefit Physical Rehab, Ltd. | Clinic/Center | 1225 N. Sixth St., Princeton, IL 61356 | 2008-02-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1720209240 | Michelle Lee Mortensen | Music Therapist | 816 S. First St., Princeton, IL 61356 | 2007-05-01 |
| 1073733465 | Jarred Allen Farrell | Chiropractor | 682 East Peru Street, Princeton, IL 61356 | 2007-04-26 |
| 1952488397 | Donald R Marion | Optometrist | 2 Park Avenue West, Princeton, IL 61356 | 2006-11-01 |
| 1427138247 | Bruce Waldo Shriver | Dentist | 422 E Peru St, Princeton, IL 61356 | 2006-10-16 |
| 1871689612 | Jason A Monroe | Dentist | 334 Backbone Rd East, Princeton, IL 61356 | 2006-10-05 |
| Find all providers in zip 61356 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1740709146 | Stonerise Reliable Healthcare LLC | Home Health | 1908 Glenwood Park Road, Princeton, WV 24739 | 2017-09-18 |
| 1982024741 | Community Action of South Eastern Wv | Home Health | 600 Trent Street, Princeton, WV 24740 | 2014-04-21 |
| 1659668507 | Healthcare Consultants Inc | Home Health | 1000 Herrontown Rd Ste 1, Princeton, NJ 08540-7716 | 2011-06-29 |
| 1285964064 | Emergent Care Home Health Services, LLC | Home Health | 136 Arbordale Way, Princeton, TX 75407-2681 | 2009-12-30 |
| 1922216324 | Mercer County Commission On Aging, Inc | Home Health | 600 Trent St, Princeton, WV 24740 | 2007-05-18 |
| 1609809888 | Welcome 2 Home Health Care, Inc. | Home Health | 524 S Hart St, Princeton, IN 47670-2440 | 2006-07-09 |
| 1043243322 | Princeton Community Hospital Home Health | Home Health | 203 12th Street Ext, Princeton, WV 24740-2329 | 2006-07-09 |
| 1699743237 | Homestay Senior Care LLC | Home Health | 812 State Rd, Suite 105, Princeton, NJ 08540-1400 | 2006-03-09 |
| 1740283894 | Caldwell County Hospital, Inc | Home Health | 1310 Us Highway 62 W, Princeton, KY 42445-6106 | 2005-05-23 |
| Find all providers in PRINCETON | ||||
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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.