MEMORIAL HOME SERVICES (NPI# 1982607123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982607123 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOME SERVICES |
| Other Organization Name | MEMORIAL HOME HEALTH |
| Practice Address |
701 N 1st St Springfield IL 62781-4952 |
| Practice Telephone | 2177884663 |
| Practice Fax Number | 2177885557 |
| Mailing Telephone | 2177884663 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | CHRISTINA ANN KING (DIRECTOR- HOME HEALTH) |
| Authorized Official Telephone | 2177884663 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1002377 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 137487 | 01 |
| IL | BLUE CROSS BLUE SHIELD HH | 9866 | 01 |
| IL | HEALTH ALLIANCE MED PLAN | 009326 | 01 |
| IL | TRICARE | L016474 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Home Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003935560 | Memorial Home Services | Hospice Care, Community Based | 701 N 1st St, Springfield, IL 62781-4952 | 2007-03-28 |
| Street Address |
701 N 1ST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-4952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316552524 | Mary Ann Seagle | Nurse Practitioner | 701 N 1st St, Springfield, IL 62781-0001 | 2020-09-14 |
| 1497372361 | Amir Mcphearson | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-26 |
| 1508482597 | Kirsten Kay Carew | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-25 |
| 1699391482 | Aruya Davis | Registered Nurse | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-17 |
| 1497370852 | Alyssa Rose Jimerson | Nurse Anesthetist, Certified Registered | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-11 |
| 1649895038 | Elisha Boyd | Nurse Practitioner | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-10 |
| 1275158990 | Ashley L Mcgrath | Nurse Anesthetist, Certified Registered | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-09 |
| 1205451812 | Christopher Evan Bejcek | Orthopaedic Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-09 |
| 1912521790 | Neil Carter Parker | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-08 |
| 1235753047 | Marc Ramseyer | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1497914741 | Ted Robert Clark | Emergency Medicine | 701 N. 1st Street, Springfield, IL 62781 | 2008-06-03 |
| 1851486393 | Joan Lewis | Nurse Practitioner | 701 N First St, Springfield, IL 62781 | 2006-10-03 |
| 1548363138 | Pathology Associates of Central Illinois Ltd | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-09-07 |
| 1962511931 | Chad Joseph Defrain | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-30 |
| 1346359320 | Nassim Banisaeed | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-30 |
| 1922111772 | John E Murphy | Pathology | 701 N First Street, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| Find all providers in zip 62781 | ||||
| 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 |
|---|---|---|---|---|
| 1144827791 | Bridge2 Homecare LLC | Home Health | 48 Rencelau St, Springfield, MA 01118-2032 | 2020-10-07 |
| 1649877531 | Infinity Care, LLC | Home Health | 7011 Calamo St Ste 107, Springfield, VA 22150-3510 | 2020-10-05 |
| 1699380717 | Independent Living of Ohio, Inc | Home Health | 1610 Mitchell Blvd, Springfield, OH 45503-3416 | 2020-09-15 |
| 1215547260 | Icare Home Health Care Services LLC | Home Health | 7890 Backlick Rd Ste 234, Springfield, VA 22150-2252 | 2020-08-05 |
| 1417574112 | Mercy Home Health | Home Health | 1001 Baltimore Pike Ste 310, Springfield, PA 19064-2800 | 2020-06-29 |
| 1124642236 | Cure Home Health, LLC | Home Health | 7711 Matisse Way, Springfield, VA 22153-3433 | 2020-06-04 |
| 1508485319 | Brown & Robinson Health Care LLC | Home Health | 227 E Sunshine St Ste 121, Springfield, MO 65807-2652 | 2020-04-11 |
| 1174142053 | Holly Grove Health Care LLC | Home Health | 227 E Sunshine St Ste 6, Springfield, MO 65807-2652 | 2020-04-10 |
| 1427687805 | Good Samaritan Home Health Care Agency LLC | Home Health | 8136 Old Keene Mill Rd Ste A304, Springfield, VA 22152-1843 | 2020-04-07 |
| 1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
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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.