Active NPI
Anna Home Care Services LLC
- Home Health Agency
- Anna, IL
National Provider Identifier
1336129642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANNA HOME CARE SERVICES LLC
- Practice address
- 517 N Main St
Anna, IL 62906-1668 - Phone
- (618) 833-2033
- Fax
- (618) 833-2347
- NPI assigned
- Jan 20, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Laurie Holtsford
- Title
- Authorized Official
- Phone
- (615) 465-7466
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
517 N Main St
Anna, IL 62906-1668
Mailing address
517 N Main St
Anna, IL 62906-1668
Phone (618) 833-2033
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364431843003 | Medicaid | IL | |
| 376014420007 | Medicaid | IL |
Other names 1
NPPES NPI Registry- Regional Home Care, Anna
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2011.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319155200000",
"number": "1336129642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-2033",
"fax_number": "618-833-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N MAIN ST",
"city": "ANNA",
"state": "IL",
"postal_code": "629061668",
"telephone_number": "618-833-2033",
"fax_number": "618-833-2347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNA HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2011-10-21",
"status": "A",
"authorized_official_last_name": "HOLTSFORD",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-465-7466",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364431843003",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376014420007",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Regional Home Care, Anna",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anna, 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.