Iroquois Home Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000072 Issued in IL

Legal business name

IROQUOIS HOME CARE, INC.

Practice address

200 North Laird Lane
Watseka, IL 60970-1666

Phone

(815) 432-6155

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles Bohlmann

Title

Ceo

Phone

(815) 432-7735

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Iroquois Memorial Hospital and Resident Home

  • Critical Access Hospital
  • Watseka, IL
  • NPI 1629003470

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1477512796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH LAIRD LANE",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701666",
            "telephone_number": "815-432-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH LAIRD LANE",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701666",
            "telephone_number": "815-432-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "BOHLMANN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-432-7735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200155460A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "03870198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iroquois Anesthesia Services PC
• Iroquois Anesthesia Services, PC
• Iroquois County Cusd 9
• Iroquois County Public Health Department
• Iroquois Emergency Medicine Specialists, LTD.
• Iroquois Kidney Center, LLC
• Iroquois Memorial Hospital
• Iroquois Memorial Hospital
• Iroquois Memorial Hospital
• Iroquois Memorial Hospital

• Durable Medical Equipment & Medical Supplies in Watseka, IL
• Providers in Watseka, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.