Bi-State Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010313 Issued in IL

Legal business name

BI-STATE HOME HEALTH, INC.

Practice address

430 Regency Ctr
Collinsville, IL 62234-4659

Phone

(618) 343-0325

Fax

(618) 343-0314

NPI assigned

Oct 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Rich R Harl

Title

Owner

Phone

(314) 398-7285

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477544310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 REGENCY CTR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344659",
            "telephone_number": "618-343-0325",
            "fax_number": "618-343-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 REGENCY CTR",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344659",
            "telephone_number": "618-343-0325",
            "fax_number": "618-343-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BI-STATE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARL",
        "authorized_official_first_name": "RICH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-398-7285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.