FAYETTE COUNTY (NPI# 1174523914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174523914 |
| Entity Type | Organization |
| Organization Name | FAYETTE COUNTY |
| Practice Address |
416 W Edwards St Vandalia IL 62471-2706 |
| Practice Telephone | 6182837262 |
| Practice Fax Number | 6182835039 |
| Mailing Telephone | 6182831044 |
| Mailing Fax Number | 6182835038 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | MRS. RHONDA ANDREWS (ADMINISTRATOR) |
| Authorized Official Telephone | 6182831044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | 1863108 | IL | Agencies |
| Y | 251E00000X | Home Health | 1625062 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS HOSPICE | 50364 | 01 |
| IL | BC/BS | 9819 | 01 |
| IL | HEALTH LINK | 136947 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033386271 | Fayette County | Public Health or Welfare | 509 W Edwards St, Vandalia, IL 62471-2707 | 2008-05-15 |
| 1861678880 | Fayette County | Health Maintenance Organization | 151 N Washington St Rm 301, La Grange, TX 78945 | 2008-01-22 |
| 1952507428 | Fayette County | Local Education Agency (LEA) | 103 1st Ave Nw, Fayette, AL 35555-2684 | 2007-06-22 |
| 1477602811 | Fayette County | Preventive Medicine | 317 S Fayette St, Washington Ch, OH 43160-2449 | 2007-01-08 |
| 1215958863 | Fayette County | Ambulance | 1721 Von Minden Rd, La Grange, TX 78945-2400 | 2006-07-21 |
| 1851556237 | Fayette County | Hospice Care, Community Based | 416 W Edwards St, Vandalia, IL 62471-2706 | 2008-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAYETTE COUNTY ATTORNEY'S OFFICE | 201 E Main St Ste 600, Lexington, KY 40507-2005 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY BEHAVIORAL HEALTH ADMINISTRATION | 215 Jacob Murphy Ln, Uniontown, PA 15401-2777 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY BOARD OF COMMISSIONERS | 140 Stonewall Ave W, Fayetteville, GA 30214-1520 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY BOARD OF EDUCATION | 103 1st Ave Nw Ste 4, Fayette, AL 35555-2684 |
| Indiana Business Entities | FAYETTE COUNTY CANCER SOCIETY, INCORPORATED | C/o Shirley Counceller, 316 Center Dr, Connersville, IN 47331 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY CAREER & TECHNICAL INSTITUTE | 175 Georges-fairchances Rd, Uniontown, PA 15401-6301 |
| Iowa Business Entities | FAYETTE COUNTY CATTLEMEN'S ASSOCIATION | Co Fayette County Extension Office, Box 700, Fayette, IA 52142 |
| Alabama Business Registrations | Fayette County Cattlemen's Association, Inc. | Po Box 465, Fayette, AL 35555 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY COMISSION | 103 1st Avenue Nw Ste 2, Fayette, AL 35555-2641 |
| System for Award Management (SAM) Entities | FAYETTE COUNTY COMMISSION | 100 Court St, Fayetteville, WV 25840 |
| Street Address |
416 W EDWARDS ST |
| City | VANDALIA |
| State | IL |
| Zip Code | 62471-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851556237 | Fayette County | Hospice Care, Community Based | 416 W Edwards St, Vandalia, IL 62471-2706 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
| 1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
| 1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
| 1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
| 1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
| 1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
| 1811003551 | Fayco Enterprises Inc | Day Training, Developmentally Disabled Services | 1313 Sunset Drive, Vandalia, IL 62471 | 2006-08-23 |
| 1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
| 1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
| 1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
| Find all providers in zip 62471 | ||||
| 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 |
|---|---|---|---|---|
| 1518375344 | Ameripass Home Heathcare LLC | Home Health | 330 James Bohanan Dr, Vandalia, OH 45377-2341 | 2014-07-24 |
| 1669782140 | Ohioans Home Healthcare, Inc. | Home Health | 407 Corporate Center Drive, Vandalia, OH 45377 | 2010-10-18 |
| 1811166291 | Absolute Homecare | Home Health | 206 S Brown School Rd, Vandalia, OH 45377-3023 | 2008-02-29 |
| 1629187414 | Horizon Home Healthcare, LLC. | Home Health | 410 Corporate Center Dr, Vandalia, OH 45377-1164 | 2006-08-29 |
| 1154626976 | Viaquest Home Health, LLC | Home Health | 300 W National Rd, Vandalia, OH 45377-1928 | 2011-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477355 | Bijou Alokpovi | Home Health | 2294 Nichols Rd Apt D, Arlington Heights, IL 60004-1177 | 2020-11-07 |
| 1396346474 | A Smith At Your Service | Home Health | 2504 7th Ave, Rock Island, IL 61201-9027 | 2020-11-04 |
| 1639779564 | A Delightful Homelife Healthcare Services LLC | Home Health | 4027 N Washington St, Westmont, IL 60559-1332 | 2020-10-29 |
| 1730789074 | Greys Medical Services | Home Health | 419 Highland Ave, West Dundee, IL 60118-1224 | 2020-10-27 |
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1881208239 | Solidex Group LLC | Home Health | 3356 W Columbia Ave Apt 2, Lincolnwood, IL 60712-3855 | 2020-09-02 |
| 1134733835 | Bethany North Suburban Group | Home Health | 2601 Chestnut Ave Unit 3310, Glenview, IL 60026-8317 | 2020-09-01 |
| 1528670171 | Jessica Renee Paul | Home Health | 647 W Losey St Ste 3, Galesburg, IL 61401-2594 | 2020-08-17 |
| 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.