NPIMap

Organization Active NPI

Galesburg Home Care Corporation

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
National Provider Identifier
1043223290
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000816 Issued in IL
Legal business name
GALESBURG HOME CARE CORPORATION
Practice address
7800 N Sommer St
Suite 303
Peoria, IL 61615-1934
Phone
(309) 693-9881
Fax
(309) 693-9882
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Gary D Newsome
Title
President
Phone
(615) 465-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000816 IL Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 203000816 IL

Addresses

Primary practice location

7800 N Sommer St
Suite 303
Peoria, IL 61615-1934

Mailing address

7800 N Sommer St
Suite 303
Peoria, IL 61615-1934
Phone (309) 693-9881

Other names 1

  • Midwest Regional Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Galesburg Home Care Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7800 N Sommer St
Ste 303
Peoria, IL 61615
Phone (309) 693-9881

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1043223290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N SOMMER ST",
            "address_2": "SUITE 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151934",
            "telephone_number": "309-693-9881",
            "fax_number": "309-693-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N SOMMER ST",
            "address_2": "SUITE 303",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151934",
            "telephone_number": "309-693-9881",
            "fax_number": "309-693-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG HOME CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-465-7000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000816",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "203000816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Regional Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.