Active NPI
Home Bound Healthcare, Inc.
- Home Health Agency
- Moline, IL
National Provider Identifier
1184635567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010622
- Legal business name
- HOME BOUND HEALTHCARE, INC.
- Practice address
- 3401 16TH St
Suite #5
Moline, IL 61265-6046 - Phone
- (309) 762-7900
- Fax
- (309) 762-6909
- NPI assigned
- Aug 10, 2006
- Last updated
- Oct 6, 2008
- 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. Christopher A Welch
- Title
- Administrator
- Phone
- (309) 762-7900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010622 | IL | Primary |
Addresses
Primary practice location
3401 16TH St
Suite #5
Moline, IL 61265-6046
Mailing address
3401 16TH St
Suite #5
Moline, IL 61265-6046
Phone (309) 762-7900
National Provider Directory
National Provider DirectoryLocations
3401 16th St
Ste 5
Moline, IL 61265
Phone (309) 762-7900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1184635567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 16TH ST",
"address_2": "SUITE #5",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656046",
"telephone_number": "309-762-7900",
"fax_number": "309-762-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 16TH ST",
"address_2": "SUITE #5",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656046",
"telephone_number": "309-762-7900",
"fax_number": "309-762-6909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME BOUND HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "309-762-7900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.