NPIMap

Organization Active NPI

Solid Source Healthcare Resources LLC Home Services

  • Nursing Care Agency
  • Ottawa, IL
National Provider Identifier
1467754994
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
4000322 Issued in IL
Legal business name
SOLID SOURCE HEALTHCARE RESOURCES LLC HOME SERVICES
Doing business as
Solid Source Healthcare Resources LLC
Practice address
100 W Superior St
Unit 1
Ottawa, IL 61350-2093
Phone
(815) 324-9396
Fax
(888) 577-1171
NPI assigned
Dec 5, 2010
Organization subpart
Yes
Parent organization
SOLID SOURCE HEALTHCARE RESOURCES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Ms. Tosheta D Brown-Greenfield, RN
Title
President
Phone
(815) 324-9396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 4000322 IL Primary

Addresses

Primary practice location

100 W Superior St
Unit 1
Ottawa, IL 61350-2093

Mailing address

911 Ottawa Ave
Unit 2
Ottawa, IL 61350-3321
Phone (779) 279-4888

Other names 1

  • Solid Source Healthcare Resources LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Solid Source Healthcare Resources LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 W Superior St
Unit 1
Ottawa, IL 61350
Phone (815) 324-9396

NPI Registry JSON

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

{
    "created_epoch": "1291507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1467754994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OTTAWA AVE",
            "address_2": "UNIT 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503321",
            "telephone_number": "779-279-4888",
            "fax_number": "888-577-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W SUPERIOR ST",
            "address_2": "UNIT 1",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502093",
            "telephone_number": "815-324-9396",
            "fax_number": "888-577-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID SOURCE HEALTHCARE RESOURCES LLC HOME SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLID SOURCE HEALTHCARE RESOURCES LLC",
        "enumeration_date": "2010-12-05",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "BROWN-GREENFIELD",
        "authorized_official_first_name": "TOSHETA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-324-9396",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solid Source Healthcare Resources LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.