Central Illinois Senior Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CENTRAL ILLINOIS SENIOR CARE, INC.

Doing business as

Home Helpers Home Care of East Peoria

Practice address

206 Walnut St
Washington, IL 61571-2648

Phone

(309) 657-3451

NPI assigned

Oct 30, 2021

Last updated

Nov 21, 2023By 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

Joshua Lee Kitterman

Title

President

Phone

(309) 657-3533

Specialties & licenses 1

Addresses

Other names 1

• Home Helpers Home Care of East Peoria Doing business as

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

{
    "created_epoch": "1635552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1306500814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S WEBSTER ST",
            "city": "MACKINAW",
            "state": "IL",
            "postal_code": "617557524",
            "telephone_number": "309-256-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WALNUT ST",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712648",
            "telephone_number": "309-657-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS SENIOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-30",
        "last_updated": "2023-11-21",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "KITTERMAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-657-3533"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers Home Care of East Peoria",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Helpers Home Care of East Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Washington, IL
• Providers in Washington, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.