SENIOR AND FAMILYHOMECARE SERVICE (NPI# 1174607659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174607659 |
| Entity Type | Organization |
| Organization Name | SENIOR AND FAMILYHOMECARE SERVICE |
| Other Organization Name | SENIOR AND FAMILYHOMECARESERVICE |
| Practice Address |
1501 Bluegrass Ln Champaign IL 61822-2074 |
| Practice Telephone | 2177220496 |
| Practice Fax Number | 2173553444 |
| Mailing Telephone | 2177220496 |
| Mailing Fax Number | 2173553444 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LATASHA CARTER (PRESIDENT) |
| Authorized Official Telephone | 2177220496 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2006286 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| senior and familyhomecareservice | Doing Business As Name - Organization |
| Street Address |
1501 BLUEGRASS LN |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| 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 |
|---|---|---|---|---|
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1457758278 | Forever Strong | Home Health | 1014 S Duncan Rd, Champaign, IL 61821-4040 | 2014-11-21 |
| 1841537503 | Lhcg Xxxvii, LLC | Home Health | 2004 Fox Dr Ste E, Champaign, IL 61820-7357 | 2013-01-14 |
| 1902133754 | Abilicare, LLC | Home Health | 2418 W Springfield Ave, Champaign, IL 61821-2812 | 2009-11-13 |
| 1710144092 | Addus Healthcare Inc | Home Health | 1817 S Neil St Ste A, Champaign, IL 61820-7263 | 2008-05-22 |
| 1336318328 | Alpha-care Health Professionals, LLC | Home Health | 115 N Neil St, Suite 106, Champaign, IL 61820-4024 | 2008-02-25 |
| 1619151891 | Senior and Child Homecare Svc | Home Health | 10 Henson Pl, Suite 4, Champaign, IL 61820-7836 | 2007-12-24 |
| 1679603831 | Diversified Health Care Services, Inc | Home Health | 510 W Park Ave, Champaign, IL 61820-3971 | 2007-03-06 |
| 1659320869 | Presence Home Care | Home Health | 1501 Interstate Dr, Champaign, IL 61822-1006 | 2006-05-08 |
| Find all providers in CHAMPAIGN | ||||
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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.