APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC. (NPI# 1770030074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770030074 |
| Entity Type | Organization |
| Organization Name | APOSTOLIC CHRISTIAN HOME OF ROANOKE ILLINOIS INC. |
| Practice Address |
1102 W Randolph St Roanoke IL 61561-7528 |
| Mailing Address |
Po Box 530 Roanoke IL 61561-0530 |
| Practice Telephone | 3099232071 |
| Practice Fax Number | 3099237919 |
| Mailing Telephone | 3099232071 |
| Mailing Fax Number | 3099237919 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | MR. RICHARD D ISAIA (ADMINISTRATOR) |
| Authorized Official Telephone | 3099232071 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0021493 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0021493 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205918794 | Apostolic Christian Home of Roanoke Illinois Inc. | Skilled Nursing Facility | 1102 W Randolph St, Roanoke, IL 61561-7528 | 2006-10-20 |
| Street Address |
1102 W RANDOLPH ST |
| City | ROANOKE |
| State | IL |
| Zip Code | 61561-7528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205918794 | Apostolic Christian Home of Roanoke Illinois Inc. | Skilled Nursing Facility | 1102 W Randolph St, Roanoke, IL 61561-7528 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619057031 | Malinda Cooling | Nurse Practitioner | 401 N Main, Roanoke, IL 61561 | 2006-10-17 |
| 1356543854 | Roanoke Benson Cus Dist 60 | Local Education Agency (LEA) | 202 W High Street, Roanoke, IL 61561-0320 | 2007-06-05 |
| 1427121961 | Michael D. Meier | Dentist | 107 W. Ann St., Roanoke, IL 61561-0440 | 2006-11-15 |
| 1295838522 | Steven Lee Crawford | Pharmacist | 322 N Main St, Roanoke, IL 61561-0617 | 2006-09-05 |
| 1649781675 | Jodi Renee Meyer | Speech-Language Pathologist | 202 W High St, Roanoke, IL 61561-7509 | 2017-10-17 |
| 1104302249 | Roanoke Rx LLC | Pharmacy | 322 N Main St, Roanoke, IL 61561-7515 | 2018-07-12 |
| 1508887860 | Brad A. Stoecker | Family Medicine | 401 N Main St, Roanoke, IL 61561-7516 | 2006-07-22 |
| 1891756664 | Matthew S Stringer | Chiropractor | 108 W Husseman St, Roanoke, IL 61561-7565 | 2006-03-31 |
| 1053764365 | Michelle M Stephens | Nurse Practitioner | 401 N Main St, Roanoke, IL 61561-7585 | 2016-07-21 |
| 1508988288 | County of Woodford Village of Roanoke | Ambulance | 101 N Main St, Roanoke, IL 61561-7598 | 2007-04-04 |
| Find all providers in zip 61561 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558558072 | United Home Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1727 Peters Creek Rd Nw, Suite H, Roanoke, VA 24017-2149 | 2007-09-28 |
| 1821180027 | United Home Healthcare Inc | Durable Medical Equipment & Medical Supplies | 1709 Peters Creek Rd Nw, Roanoke, VA 24017-2139 | 2006-09-28 |
| 1598711095 | Sun Medical Ltd. | Durable Medical Equipment & Medical Supplies | 1807 Murry Rd Sw, Suite A, Roanoke, VA 24018-1514 | 2006-05-26 |
| 1447252705 | Alabama Oxygen and Medical Equipment | Durable Medical Equipment & Medical Supplies | 950 Us Highway 431, Roanoke, AL 36274-7313 | 2005-06-01 |
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|---|---|---|---|---|
| 1821699026 | First Choice Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 65 S 65th St Ste 10, Belleville, IL 62223-2946 | 2020-11-04 |
| 1619596624 | Gz Service Inc | Durable Medical Equipment & Medical Supplies | 576 Jennifer Cir, Mundelein, IL 60060-4110 | 2020-04-09 |
| 1528690526 | Nationwide Medical, Inc. | Durable Medical Equipment & Medical Supplies | 415 W Golf Rd Ste 48, Arlington Heights, IL 60005-3923 | 2020-02-07 |
| 1477024347 | Karma7 Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1840 Industrial Dr Ste 160, Libertyville, IL 60048-9400 | 2018-12-17 |
| 1700354354 | True Respiratory Care & Medical Management LLC | Durable Medical Equipment & Medical Supplies | 11415 183rd Pl Ste B, Orland Park, IL 60467-5011 | 2018-11-12 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1215436449 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 300 Coles Centre Pkwy, Mattoon, IL 61938 | 2018-02-02 |
| 1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
| 1487103560 | The Elms | Durable Medical Equipment & Medical Supplies | 1212 Madelyn Ave, Macomb, IL 61455-3324 | 2016-09-29 |
| 1457807257 | Genventures Inc | Durable Medical Equipment & Medical Supplies | 101 S. College Avenue, Aledo, IL 61231-1630 | 2016-08-31 |
| 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.