Egyptian Health Department
Organization Active NPI Nursing Care Agency · Eldorado, IL
NPI 1427225481 · NPPES record last updated Jun 24, 2020
Key facts
- NPI
- 1427225481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Care Agency 251J00000X
- License
- 1002336 (IL)
- Legal business name
- EGYPTIAN HEALTH DEPARTMENT
- Practice address
- 1412 US Highway 45 N
Eldorado, IL 62930-3766 - Phone
- (618) 273-3326
- Fax
- (618) 273-2808
- NPI assigned
- May 9, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Angie Hampton
- Title
- Ceo
- Phone
- (618) 273-3326
Corporate family (same tax ID) 19
Affiliated clinicians 5
-
Brent M Jones, MD
-
Jared D Mitchell, MD
-
Nathan Oldham, M.D.
-
Adam M Vargo, MD
Medicare Care Compare: Home health agency
- Listed as
- Egyptian Health Department
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Government Operated
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Home health agency certification: CCN 147034
- Legal name
- EGYPTIAN HEALTH DEPARTMENT
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1966
- Last certification
- Mar 27, 2019
- Ownership / control type
- Government Operated
- Organization structure
- Government · Non-profit
- Incorporated
- Aug 29, 1972 in IL
- Enrollment address
- 1412 US Highway 45 N
Eldorado, IL 62930-3766
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Angie Hampton |
Corporate Director | May 27, 2010 | |
| Operational/Managerial Control |
Jun 18, 2005 | 100% | |
| David Aldridge |
Corporate Director | May 27, 2010 | |
| Operational/Managerial Control |
Jan 2, 1992 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101020000617 | IL | Part a Provider - Home Health Agency | 9234212564 | Practice locations: Eldorado, IL |
National Provider Directory
- Tax ID family
- Egyptian Health Department
Locations
1412 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-3326
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | 1002336 | IL | Yes |
Addresses
Primary practice location
1412 US Highway 45 N
Eldorado, IL 62930-3766
Mailing address
1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone (618) 273-3326
Other providers in Eldorado, IL
- Michelle Dawn Drone
- DRS
- Lisa Duncan
- Brandon Cole Edwards
- Egyptian Health Department
- Egyptian Health Department
- Egyptian Health Department
- Egyptian Health Department
- Egyptian Health Department
- Egyptian Health Department
All providers in Eldorado, IL · Nursing Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.