Organization Active NPI

Senior and Familyhomecare Service

  • Home Health Agency
  • Champaign, IL
National Provider Identifier
1174607659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2006286 Issued in IL
Legal business name
SENIOR AND FAMILYHOMECARE SERVICE
Doing business as
senior and familyhomecareservice
Practice address
1501 Bluegrass LN
Champaign, IL 61822-2074
Phone
(217) 722-0496
Fax
(217) 355-3444
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Latasha Carter
Title
President
Phone
(217) 722-0496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2006286 IL Primary

Addresses

Primary practice location

1501 Bluegrass LN
Champaign, IL 61822-2074

Mailing address

1501 Bluegrass LN
Champaign, IL 61822-2074
Phone (217) 722-0496

Other names 1

  • senior and familyhomecareservice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174607659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 BLUEGRASS LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222074",
            "telephone_number": "217-722-0496",
            "fax_number": "217-355-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BLUEGRASS LN",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618222074",
            "telephone_number": "217-722-0496",
            "fax_number": "217-355-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR AND FAMILYHOMECARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-722-0496"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "2006286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "senior and familyhomecareservice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • 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.