Active NPI
Athena Home Health, Inc.
- Home Health Agency
- Heyworth, IL
National Provider Identifier
1114357118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 041378159
- Legal business name
- ATHENA HOME HEALTH, INC.
- Practice address
- 112 Prancer Dr
Heyworth, IL 61745-9648 - Phone
- (309) 826-2761
- NPI assigned
- Nov 13, 2013
- Last updated
- Nov 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert Alan Peel Jr., MSN
- Title
- President
- Phone
- (309) 826-2761
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 041378159 | IL | Primary |
| Home Infusion Agency | 251F00000X | 041378159 | IL | |
| Community Based Hospice Care Agency | 251G00000X | 041378159 | IL | |
| Nursing Care Agency | 251J00000X | 041378159 | IL |
Addresses
Primary practice location
112 Prancer Dr
Heyworth, IL 61745-9648
Mailing address
112 Prancer Dr
Heyworth, IL 61745-9648
Phone (309) 826-2761
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384300800000",
"number": "1114357118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 PRANCER DR",
"city": "HEYWORTH",
"state": "IL",
"postal_code": "617459648",
"telephone_number": "309-826-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PRANCER DR",
"city": "HEYWORTH",
"state": "IL",
"postal_code": "617459648",
"telephone_number": "309-826-2761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATHENA HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A",
"authorized_official_last_name": "PEEL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-826-2761",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "041378159",
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "IL",
"license": "041378159",
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "IL",
"license": "041378159",
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "IL",
"license": "041378159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heyworth, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.