Organization Active NPI

Someone Special Home Care LLC

  • In Home Supportive Care Agency
  • Belleville, IL
National Provider Identifier
1063906600
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SOMEONE SPECIAL HOME CARE LLC
Practice address
226 Centreville Ave
Belleville, IL 62220-1948
Phone
(618) 825-9090
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Kimberly Vandiver
Title
Owner/President
Phone
(618) 581-0940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

226 Centreville Ave
Belleville, IL 62220-1948

Mailing address

226 Centreville Ave
Belleville, IL 62220-1948

National Provider Directory

National Provider Directory

Locations

226 Centreville Ave
Belleville, IL 62220
Phone (618) 825-9090

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1063906600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CENTREVILLE AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CENTREVILLE AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201948",
            "telephone_number": "618-825-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMEONE SPECIAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "VANDIVER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-581-0940"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.