Active NPI
Senior and Child Homecare SVC
- Home Health Agency
- Champaign, IL
National Provider Identifier
1619151891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 251E00000X
- Legal business name
- SENIOR AND CHILD HOMECARE SVC
- Doing business as
- Senior Staffing Care providers
- Practice address
- 10 Henson PL
Suite 4
Champaign, IL 61820-7836 - Phone
- (217) 621-8251
- Fax
- (217) 355-3444
- NPI assigned
- Dec 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latasha Dorris
- Title
- President/Owner
- Phone
- (217) 351-2064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 251E00000X | IL | Primary |
Addresses
Primary practice location
10 Henson PL
Suite 4
Champaign, IL 61820-7836
Mailing address
#10 Hesin Place
Suite 4
Champaign, IL 61821-6830
Phone (217) 621-8251
Other names 1
- Senior Staffing Care providers
National Provider Directory
National Provider DirectoryLocations
10 Henson Pl
Ste 4
Champaign, IL 61820
Phone (217) 621-8251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1619151891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#10 HESIN PLACE",
"address_2": "SUITE 4",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618216830",
"telephone_number": "217-621-8251",
"fax_number": "217-355-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HENSON PL",
"address_2": "SUITE 4",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207836",
"telephone_number": "217-621-8251",
"fax_number": "217-355-3444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR AND CHILD HOMECARE SVC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-24",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "DORRIS",
"authorized_official_first_name": "LATASHA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "217-351-2064"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "251E00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Senior Staffing Care providers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.