Western Illinois Home Provider Care Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WESTERN ILLINOIS HOME PROVIDER CARE INC.

Practice address

2 Industrial Park Rd
Monmouth, IL 61462-9698

Phone

(309) 734-9376

Fax

(309) 734-5338

NPI assigned

Nov 30, 2023

Last updated

Feb 23, 2024By 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

Amanda Newman

Title

Ceo

Phone

(309) 734-9376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Marie Kubis

  • Family Nurse Practitioner
  • Monmouth, IL
  • NPI 1134993967
  Medicare reassignment NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1437925393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK RD",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614629698",
            "telephone_number": "309-734-9376",
            "fax_number": "309-734-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK RD",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614629698",
            "telephone_number": "309-734-9376",
            "fax_number": "309-734-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ILLINOIS HOME PROVIDER CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-734-9376"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Achievement Center
• Warren Achievement Center Inc
• John Henry Wegmann, DC
• Laurel Lynn Welty, APN
• Western Illinois Home Health Care, Inc.
• Jamie J Weyant, MS RD LDN
• Joshua Woodward
• Yorkwood Cusd 225

• Family Medicine Physician in Monmouth, IL
• Providers in Monmouth, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.