FOREVER STRONG (NPI# 1457758278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457758278 |
| Entity Type | Organization |
| Organization Name | FOREVER STRONG |
| Practice Address |
1014 S Duncan Rd Champaign IL 61821-4040 |
| Practice Telephone | 2177789908 |
| Mailing Telephone | 2177789908 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | SAMANTHA J MOORE (OWNER/NURSE) |
| Authorized Official Telephone | 2177789908 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 251E0000X | IL | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FOREVER STRONG CONSTRUCTION INC. | 37-49 92nd Street, Jackson Heights, Ny 11372 |
| Oregon Corporations, Companies and Business Names | FOREVER STRONG PERFORMANCE FITNESS LLC | 5250 High Banks Rd Ste 120, Springfield, OR 97478 |
| New York State Corporations | FOREVER STRONG PERSONAL TRAINING LLC | 15 Arbor Field Way, Lake Grove, New York 11755 |
| Street Address |
1014 S DUNCAN RD |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| 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 |
| 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 |
| 1174607659 | Senior and Familyhomecare Service | Home Health | 1501 Bluegrass Ln, Champaign, IL 61822-2074 | 2006-10-24 |
| 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.