Organization Active NPI

Home Bound Healthcare, Inc.

  • Home Health Agency
  • Moline, IL
National Provider Identifier
1184635567
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010622 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.