Memorial Home Services of Central Illinois, Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

054-014828 Issued in IL

Legal business name

MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC

Practice address

1935 Belt Way Dr
Overland, MO 63114-5825

Phone

(314) 205-8600

NPI assigned

Mar 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori A Valentine

Title

Director Durable Medical Equipment

Phone

(217) 788-4663

Specialties & licenses 6

Addresses

Other names 1

• Alternative Care Services, Inc Former legal business name

Tax ID family

Memorial Home Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Alternative Care Services

  • Durable Medical Equipment & Medical Supplies
  • Springfield, IL
  • NPI 1356313092
  NPD tax ID
• Memorial Home Services of Central Illinois, Inc

  • Durable Medical Equipment & Medical Supplies
  • Springfield, IL
  • NPI 1336111053
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1013037795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 N 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025222",
            "telephone_number": "217-788-4663",
            "fax_number": "217-788-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BELT WAY DR",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145825",
            "telephone_number": "314-205-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR DURABLE MEDICAL EQUIPMENT",
        "authorized_official_telephone_number": "217-788-4663"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IL",
            "license": "054-014828",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "IL",
            "license": "054-014084",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MO",
            "license": "004857",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054-014828",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "IL",
            "license": "054-014084",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MO",
            "license": "004857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Care Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Overland, MO
• Providers in Overland, MO by specialty
• Home Infusion Therapy Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.