Organization Active NPI

Athena Home Health, Inc.

  • Home Health Agency
  • Heyworth, IL
National Provider Identifier
1114357118
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
041378159 Issued in IL
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.