Organization Active NPI

Mercyhealth Visiting Nurses Association, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Machesney Park, IL
National Provider Identifier
1427165752
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203.000267 Issued in IL
Legal business name
MERCYHEALTH VISITING NURSES ASSOCIATION, INC.
Practice address
9934 N Alpine Rd Ste 110
Machesney Park, IL 61115-8240
Phone
(815) 971-3330
Fax
(815) 282-2210
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Ms. Danette M Eibl, CPA
Title
Finance Director
Phone
(815) 971-5944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203.000267 IL Primary
Durable Medical Equipment & Medical Supplies 332B00000X IL

Addresses

Primary practice location

9934 N Alpine Rd Ste 110
Machesney Park, IL 61115-8240

Mailing address

4223 E State St
Rockford, IL 61108
Phone (815) 971-3550

Other names 1

  • Visiting Nurses Association of the Rockford Area Former legal business name

National Provider Directory

National Provider Directory

Locations

9934 N Alpine Rd
Ste 110
Machesney Park, IL 61115
Phone (815) 971-3330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1427165752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61108",
            "telephone_number": "815-971-3550",
            "fax_number": "815-971-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9934 N ALPINE RD STE 110",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611158240",
            "telephone_number": "815-971-3330",
            "fax_number": "815-282-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCYHEALTH VISITING NURSES ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "EIBL",
        "authorized_official_first_name": "DANETTE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "815-971-5944",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203.000267",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Nurses Association of the Rockford Area",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Visiting Nurses Association of the Rockford Area",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Machesney Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.