Organization Active NPI

Heroes of the Game, Inc.

  • In Home Supportive Care Agency
  • Rockford, IL
National Provider Identifier
1104250083
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
201300012C Issued in IL
Legal business name
HEROES OF THE GAME, INC.
Practice address
3028 N Trainer Rd
Rockford, IL 61114-5815
Phone
(815) 262-1431
NPI assigned
Aug 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Mrs. Wendy Katherine Partridge, M.S.
Title
President/Ceo
Phone
(815) 262-0699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 201300012C IL Primary

Addresses

Primary practice location

3028 N Trainer Rd
Rockford, IL 61114-5815

Mailing address

3028 N Trainer Rd
Rockford, IL 61114-5815
Phone (815) 262-1431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1104250083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 N TRAINER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145815",
            "telephone_number": "815-262-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 N TRAINER RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145815",
            "telephone_number": "815-262-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROES OF THE GAME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-27",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "815-262-0699",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "201300012C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.