Organization Active NPI

Heart and Home in Home Care LLC

Doing business as Heart and Home In Home Care

  • In Home Supportive Care Agency
  • Galesburg, IL
National Provider Identifier
1538836986
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEART AND HOME IN HOME CARE LLC
Doing business as
Heart and Home In Home Care
Practice address
647 W Losey St Ste 3
Galesburg, IL 61401-2594
Phone
(309) 351-7882
Fax
(309) 973-4121
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Mrs. Jessica Renee PaulNPI 1528670171
Title
Owner
Phone
(309) 351-7882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

647 W Losey St Ste 3
Galesburg, IL 61401-2594

Mailing address

647 W Losey St Ste 3
Galesburg, IL 61401-2594
Phone (309) 351-7882

Other names 1

  • Heart and Home In Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

647 W Losey St
Ste 3
Galesburg, IL 61401
Phone (309) 351-7882

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1538836986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 W LOSEY ST STE 3",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012594",
            "telephone_number": "309-351-7882",
            "fax_number": "309-973-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 W LOSEY ST STE 3",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012594",
            "telephone_number": "309-351-7882",
            "fax_number": "309-973-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND HOME IN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-351-7882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart and Home In Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.