Organization Active NPI

First Community Care, LLC

  • Oxygen Equipment & Supplies (DME)
  • Springfield, IL
National Provider Identifier
1588899124
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
FIRST COMMUNITY CARE, LLC
Practice address
3351 S 6TH Street
Suite 8
Springfield, IL 62703-4776
Phone
(866) 696-1637
Fax
(989) 839-2970
NPI assigned
May 27, 2009
Organization subpart
Yes
Parent organization
COMMUNITY CARE HOLDINGS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Mrs. Jennifer Kuczewski
Title
Director
Phone
(716) 568-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

3351 S 6TH Street
Suite 8
Springfield, IL 62703-4776

Mailing address

3351 S Sixth St.
Suite 8
Springfield, IL 62703-4776
Phone (866) 696-1637

National Provider Directory

National Provider Directory

Locations

3351 S 6th Street Rd
Ste 8
Springfield, IL 62703
Phone (217) 679-2465

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1588899124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 S SIXTH ST.",
            "address_2": "SUITE 8",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034776",
            "telephone_number": "866-696-1637",
            "fax_number": "989-839-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 S 6TH STREET",
            "address_2": "SUITE 8",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034776",
            "telephone_number": "866-696-1637",
            "fax_number": "989-839-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COMMUNITY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY CARE HOLDINGS, LLC",
        "enumeration_date": "2009-05-27",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "KUCZEWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-568-2236",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.