Organization Active NPI

Home Bound Healthcare, Inc.

  • Home Health Agency
  • Springfield, IL
National Provider Identifier
1154585040
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME BOUND HEALTHCARE, INC.
Practice address
421 S Grand Ave W
Suite 2B
Springfield, IL 62704-3781
Phone
(217) 753-2260
Fax
(217) 753-2270
NPI assigned
Jul 10, 2008
Last updated
Sep 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mrs. Andrea J Miller, LNHA
Title
Administrator
Phone
(217) 753-2260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

421 S Grand Ave W
Suite 2B
Springfield, IL 62704-3781

Mailing address

421 South Grand Ave W
Suite 2B
Springfield, IL 62704-3781
Phone (217) 753-2260

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1154585040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 SOUTH GRAND AVE W",
            "address_2": "SUITE 2B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043781",
            "telephone_number": "217-753-2260",
            "fax_number": "217-753-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S GRAND AVE W",
            "address_2": "SUITE 2B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043781",
            "telephone_number": "217-753-2260",
            "fax_number": "217-753-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BOUND HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-753-2260",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.