M&T Group LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

M&T GROUP LLC

Doing business as

Central Illinois Care Services

Practice address

1901 S 4TH St Ste 4
Effingham, IL 62401-4188

Phone

(314) 439-6354

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Mark Bremerkamp

Title

Owner / President

Phone

(314) 439-6354

Specialties & licenses 1

Addresses

Other names 1

• Central Illinois Care Services Doing business as

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1518504935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FALLING LEAVES CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 4TH ST STE 4",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014188",
            "telephone_number": "314-439-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&T GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "BREMERKAMP",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "314-439-6354"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Illinois Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbey Lynn Lowe
• Michelle Lynn Lueken, LPTA
• Abbi Rose Lustig, PTA
• Claire Christine Lustig, DMD
• Lauren Lustig
• Rose Maccallum
• Erica A Magelitz
• Negar Mahmoudzadeh
• Rita Waleska Maldonado, M.D.
• Kevin D Malone, MD

• In Home Supportive Care Agency in Effingham, IL
• Providers in Effingham, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.