Rebels With a Cause

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

REBELS WITH A CAUSE

Practice address

333 Commerce Dr
Ste 275
Crystal Lake, IL 60014-3539

Phone

(815) 459-1502

Fax

(815) 425-1058

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Debbie Elliott

Title

VP

Phone

(815) 459-1502

Specialties & licenses 1

Addresses

Other names 1

• Homewatch CareGivers Doing business as

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1639290455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600390249",
            "telephone_number": "815-459-1502",
            "fax_number": "815-425-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 COMMERCE DR",
            "address_2": "STE 275",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143539",
            "telephone_number": "815-459-1502",
            "fax_number": "815-425-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBELS WITH A CAUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "815-459-1502"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewatch CareGivers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kellie Marie Reed, P.T.A.
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• Reflection HC Inc
• Brandon Regan, DPT

• Home Health Aide in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Home Health Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.