Medcare Health Center LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MEDCARE HEALTH CENTER LTD

Practice address

1212 Currency CT
Rochelle, IL 61068-2321

Phone

(815) 561-8500

Fax

(815) 561-8501

NPI assigned

Jan 30, 2007

Last updated

Aug 23, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diana Hogshead

Title

Credentialing Agent

Phone

(815) 965-8505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassandra Lynn Larue-Headon, D.C.

  • Chiropractor
  • Rochelle, IL
  • NPI 1386715423
  Medicare reassignment
• Charlie F Gude, M.D.

  • Family Medicine Physician
  • Oakbrook Terrace, IL
  • NPI 1336202894
  NPD (past)
• Ulysses M Magnanao, D.O.

  • Family Medicine Physician
  • Elgin, IL
  • NPI 1225020142
  NPD (past)
• Dawn Miesner, D.O.

  • Family Medicine Physician
  • Mattoon, IL
  • NPI 1255343026
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1245376698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CURRENCY CT",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610682321",
            "telephone_number": "815-561-8500",
            "fax_number": "815-561-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CURRENCY CT",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610682321",
            "telephone_number": "815-561-8500",
            "fax_number": "815-561-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE HEALTH CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "HOGSHEAD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merilyn D May, LMFT
• Amie McDermott, LMT
• Daniel McDermott
• Jennifer McGee, LMT
• Leanna Ruth McMeekan
• Clarisa Medina Poeliniz, APN
• Dana Meyers, L.M.T.
• Kourtnee Jo Mezo
• Michael J. Monfils, M.D., L.L.C.
• Midwest Physical Therapy

• Chiropractor in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.