NPIMap

Organization Active NPI

@Myhomecare, LLC

  • Health Maintenance Organization
  • Dewey, IL
National Provider Identifier
1194066381
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
0420311-9 Issued in IL
Legal business name
@MYHOMECARE, LLC
Practice address
3201 Greenwood Dr
Dewey, IL 61840-9601
Phone
(970) 215-4588
NPI assigned
Mar 13, 2013
Last updated
Mar 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Mr. Ricky Dale May
Title
Director
Phone
(970) 215-4588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 0420311-9 IL Primary

Addresses

Primary practice location

3201 Greenwood Dr
Dewey, IL 61840-9601

Mailing address

3201 Greenwood Dr
Dewey, IL 61840-9601
Phone (970) 215-4588

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1194066381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GREENWOOD DR",
            "city": "DEWEY",
            "state": "IL",
            "postal_code": "618409601",
            "telephone_number": "970-215-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GREENWOOD DR",
            "city": "DEWEY",
            "state": "IL",
            "postal_code": "618409601",
            "telephone_number": "970-215-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "@MYHOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "970-215-4588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "0420311-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewey, IL

Sources for this page

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