Deaconess Vna Plus, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011757 Issued in IL

Legal business name

DEACONESS VNA PLUS, LLC

Practice address

1300 US Highway 45 N
Eldorado, IL 62930-3765

Phone

(618) 273-9305

Fax

(618) 273-2469

NPI assigned

Oct 20, 2006

Last updated

May 14, 2015By 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. Gloria D Horton

Title

Executive Director

Phone

(812) 425-3561

Specialties & licenses 1

Addresses

Other identifiers 7

Member of 1

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

• Deaconess Hospital, Inc.

  dba Freedom Medical West

  • Durable Medical Equipment & Medical Supplies
  • Evansville, IN
  • NPI 1366830259

  Member Of

  NPD member

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1417039116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 US HIGHWAY 45 N",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303765",
            "telephone_number": "618-273-9305",
            "fax_number": "618-273-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 US HIGHWAY 45 N",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629303765",
            "telephone_number": "618-273-9305",
            "fax_number": "618-273-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEACONESS VNA PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "HORTON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "812-425-3561",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PRINCETON",
            "identifier": "323485",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS EVANSVILLE",
            "identifier": "186268",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201266990A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PROVIDER # MARIAN",
            "identifier": "V255P9657A501475",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TELL CITY",
            "identifier": "323484",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY PROVIDER",
            "identifier": "34-340042",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350868076001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Davenport
• Cindy Lee Davis, LPN
• Deaconess Illinois Specialty Clinic, Inc.
• Deaconess Specialty Physicians
• Deaconess Vna Plus, LLC
• Laura Devous, FNP
• Sarah Dickinson, MA
• Sharon Kay Dobrey, LPN
• Jacquelyn Dortch, LPN
• Kimberly Douglas

• Home Health Agency in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.