Healthline in-Home Care of Il, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEALTHLINE IN-HOME CARE OF IL, LLC

Practice address

5003 N Illinois St
Suite 1
Fairview Heights, IL 62208-3419

Phone

(618) 671-6524

Fax

(618) 671-6523

NPI assigned

Dec 26, 2013

Organization subpart

No

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

Authorized official

Name

Elizabeth Smack

Title

Financial Manager

Phone

(636) 386-8228

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1588085179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 KEHRS MILL RD STE 105",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112404",
            "telephone_number": "636-386-8228",
            "fax_number": "636-386-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 N ILLINOIS ST",
            "address_2": "SUITE 1",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083419",
            "telephone_number": "618-671-6524",
            "fax_number": "618-671-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINE IN-HOME CARE OF IL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "SMACK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "636-386-8228"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Fairview Heights, IL
• Providers in Fairview Heights, 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 26, 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.