Forever Strong

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

251E0000X Issued in IL

Legal business name

FOREVER STRONG

Practice address

1014 S Duncan Rd
Champaign, IL 61821-4040

Phone

(217) 778-9908

NPI assigned

Nov 21, 2014

Last updated

Nov 21, 2014By 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

Samantha J Moore

Title

Owner/Nurse

Phone

(217) 778-9908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1457758278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S DUNCAN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214040",
            "telephone_number": "217-778-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S DUNCAN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214040",
            "telephone_number": "217-778-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER STRONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/NURSE",
        "authorized_official_telephone_number": "217-778-9908"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "251E0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Foley
• Stian Follestad, RBT
• Sandra Foltz
• Caitlyn Annice Foote, M.D.
• Jason Foreman, D.D.S.
• Nancy Lee Forsythe, LMHC
• Jurhee Forth
• Dajza Foster, RBT
• Dionne C Foster, LSW
• Elizabeth Foster, PA-C

• Home Health Agency in Champaign, IL
• Providers in Champaign, 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 Nov 21, 2014; 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.