SPRINGFIELD ILLINOIS HOMECARE LLC (NPI# 1376166637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376166637 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD ILLINOIS HOMECARE LLC |
| Practice Address |
2731 S Macarthur Blvd Ste 201 Springfield IL 62704-5081 |
| Practice Telephone | 2172992928 |
| Practice Fax Number | 2175686309 |
| Mailing Telephone | 2172992928 |
| Mailing Fax Number | 2175686309 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | MR. ROD A LANE (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2172992928 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PRIVATE PAY ETC | 3001655 | 01 |
| Other Name | Type Code |
|---|---|
| Visiting Angels | Doing Business As Name - Organization |
| Street Address |
2731 S MACARTHUR BLVD STE 201 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-5081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393450 | Tonya L Wilson | Home Health Aide | 719 N Belmont Ave, Springfield, OH 45503-4552 | 2020-10-15 |
| 1013515964 | April Dense Flora | Home Health Aide | 1614 Memorial Dr, Springfield, OH 45505-4421 | 2020-10-13 |
| 1336746114 | Nicole Burson | Home Health Aide | 3421 Rebert Pike, Springfield, OH 45502-9737 | 2020-10-05 |
| 1720694813 | Regina Yvetta Thrasher | Home Health Aide | 1901 Marinette Dr, Springfield, OH 45503-2136 | 2020-09-23 |
| 1609482025 | Frank Wilson | Home Health Aide | 202 Neosha Ave, Springfield, OH 45505-4964 | 2020-09-21 |
| 1336755768 | Terri Patton | Home Health Aide | 1361 Maryland Ave, Springfield, OH 45505-3261 | 2020-09-21 |
| 1871108126 | Toni Lewis | Home Health Aide | 6114 Prairie Rd, Springfield, OH 45502-9231 | 2020-09-14 |
| 1962037713 | Teroy Cunningham | Home Health Aide | 356 S Yellow Springs St, Springfield, OH 45506-1539 | 2020-03-11 |
| 1417587288 | Todicia D Johnson | Home Health Aide | 1423 S Yellow Springs St, Springfield, OH 45506-2544 | 2020-01-21 |
| 1922644509 | Miranda Cawlfield | Home Health Aide | 3224 S Kings Ave, Springfield, MO 65807-5084 | 2019-11-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on SPRINGFIELD ILLINOIS HOMECARE LLC.
| 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.