Western Illinois Managed Home Services, Inc.

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

2006-N0395 Issued in IL

Legal business name

WESTERN ILLINOIS MANAGED HOME SERVICES, INC.

Practice address

1197 N Henderson St
Suite 1
Galesburg, IL 61401-2574

Phone

(309) 342-3516

Fax

(309) 342-2312

NPI assigned

Aug 19, 2006

Last updated

Aug 22, 2020By 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

Mrs. Barbara A Byers

Title

President

Phone

(309) 342-3516

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326152067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1197 N HENDERSON ST",
            "address_2": "SUITE 1",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012574",
            "telephone_number": "309-342-3516",
            "fax_number": "309-342-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 N HENDERSON ST",
            "address_2": "SUITE 1",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012574",
            "telephone_number": "309-342-3516",
            "fax_number": "309-342-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ILLINOIS MANAGED HOME SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-342-3516",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "2006-N0395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.