Williamson County Programs on Aging Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1003771 Issued in IL

Legal business name

WILLIAMSON COUNTY PROGRAMS ON AGING HOME HEALTH

Practice address

204 Rushing Dr
Herrin, IL 62948-3713

Phone

(618) 993-5165

Fax

(618) 993-5721

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jo Boester, RN

Title

Clinical Director

Phone

(618) 942-6933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083729909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483713",
            "telephone_number": "618-993-5165",
            "fax_number": "618-993-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483713",
            "telephone_number": "618-993-5165",
            "fax_number": "618-993-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON COUNTY PROGRAMS ON AGING HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOESTER",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "618-942-6933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1003771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Jo White-Barry, LPN
• Brian Shay Wiggs, PT
• William F Hays MD, LTD
• Ryan Williams
• Sherry Michele Williams, MD
• Alan John Wilson, M.D.
• Amelie H Wilson, PT
• Mallori Jo Wilson
• John B Wood, MD
• Michael Aaron Workman, MD

• Home Health Agency in Herrin, IL
• Providers in Herrin, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.