Memorial Home Services of Central Illinois, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000924 Issued in IL

Legal business name

MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC

Practice address

1214 Woodlawn Rd Unit B3
Lincoln, IL 62656-9746

Phone

(217) 732-8071

Fax

(217) 732-8318

NPI assigned

Feb 6, 2006

Last updated

Dec 13, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEMORIAL HOME SERVICESAs reported in NPPES

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

Authorized official

Name

Lori Valentine

Title

Director Durable Medical Equipment

Phone

(217) 788-4663

Specialties & licenses 1

Addresses

Other names 1

• Alternative Care Services, Inc Former legal business name

Part of

Memorial Home Services

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorial Home Services

  • Community Based Hospice Care Agency
  • Springfield, IL
  • NPI 1003935560

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1205808946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 N 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025222",
            "telephone_number": "217-788-4663",
            "fax_number": "217-788-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 WOODLAWN RD UNIT B3",
            "city": "LINCOLN",
            "state": "IL",
            "postal_code": "626569746",
            "telephone_number": "217-732-8071",
            "fax_number": "217-732-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOME SERVICES",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR DURABLE MEDICAL EQUIPMENT",
        "authorized_official_telephone_number": "217-788-4663"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Care Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maple Ridge Care Centre LLC
• Cynthia Marcotte
• Mark Canty MD, LTD
• Rachel Victoria McCray
• Wilma L McLaughlin, LCPC
• Memorial Physician Services
• Memorial Physician Services
• Mental Health Centers of Central Illinois (Memorial Behavioral Health - Lincoln)
• Mental Health Centers of Central Illinois (Memorial Behavioral Health - Lincoln Center for Developmental Rehab)
• Mhcci Lincoln

• Durable Medical Equipment & Medical Supplies in Lincoln, IL
• Providers in Lincoln, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.