Organization Active NPI

Galesburg Home Care Corp.

Doing business as Midwest Regional Hospice

  • Community Based Hospice Care Agency
  • Galesburg, IL
National Provider Identifier
1205139011
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GALESBURG HOME CARE CORP.
Doing business as
Midwest Regional Hospice
Practice address
799 N Henderson St
Galesburg, IL 61401-2515
Phone
(309) 343-9031
Fax
(309) 343-8057
NPI assigned
Dec 16, 2010
Last updated
Oct 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Laurie Holtsford
Title
Director Business Office Support
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

799 N Henderson St
Galesburg, IL 61401-2515

Mailing address

799 N Henderson St
Galesburg, IL 61401-2515
Phone (309) 343-9031

Other names 1

  • Midwest Regional Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Galesburg Home Care Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3321 Agency St
Ste K
Burlington, IA 52601
Phone (319) 752-0483

1007 N Vermilion St
Danville, IL 61832
Phone (217) 446-7821

2590 E Federal Dr
Ste 502
Decatur, IL 62526
Phone (217) 875-6121

1865 N Henderson St
Ste 11B
Galesburg, IL 61401
Phone (309) 343-9031

230 E Main St
Galesburg, IL 61401
Phone (309) 343-9031

799 N Henderson St
Galesburg, IL 61401
Phone (309) 342-3007

1919 W Altorfer Dr
Peoria, IL 61615
Phone (309) 688-1780

7501 N University St
Ste 133
Peoria, IL 61614
Phone (309) 693-9881

7800 N Sommer St
Ste 303
Peoria, IL 61615
Phone (309) 693-9881

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1205139011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012515",
            "telephone_number": "309-343-9031",
            "fax_number": "309-343-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 N HENDERSON ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012515",
            "telephone_number": "309-343-9031",
            "fax_number": "309-343-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALESBURG HOME CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OFFICE SUPPORT",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.