Decatur Memorial Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2000354 Issued in IL

Legal business name

DECATUR MEMORIAL HOSPITAL

Practice address

2870 N Main St
Decatur Memorial Home Care
Decatur, IL 62526-3234

Phone

(217) 876-4600

Fax

(217) 876-4660

NPI assigned

Oct 6, 2006

Organization subpart

Yes

Parent organization

DECATUR MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Timothy D Stone Jr.

Title

Senior VP & Cfo

Phone

(217) 876-2107

Specialties & licenses 1

Addresses

Other identifiers 4

Part of

Decatur Memroial Hospit

Member of 1

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

• Decatur Memorial Hospital

  dba Professional Fees

  • Multi-Specialty Clinic/Center
  • Decatur, IL
  • NPI 1477276301

  Member Of

  NPD member

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1588751234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N. EDWARD ST.",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-876-8121",
            "fax_number": "217-876-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 N MAIN ST",
            "address_2": "DECATUR MEMORIAL HOME CARE",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263234",
            "telephone_number": "217-876-4600",
            "fax_number": "217-876-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECATUR MEMORIAL HOSPITAL",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "217-876-2107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "2000354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "149441",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9698",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "9688",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Decatur Memorial Hospital (DMH Medical Equipment Co.)
• Decatur Memorial Hospital
• Decatur Memorial Hospital (DMH Medical Equipment Co.)
• Decatur Memorial Hospital (Professional Fees)
• Decatur Memorial Hospital
• Decatur Memorial Hospital (DMH Medical Group)
• Decatur Memorial Hospital (Physician's Plaza Pharmacy)
• Decatur Memorial Hospital
• Decatur Memorial Hospital (DMH Home Health Services - Hospice)
• Decatur Memorial Hospital

• Home Health Agency in Decatur, IL
• Providers in Decatur, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.