Active NPI
Shirette's in Home Care, LLC
- In Home Supportive Care Agency
- Peoria, IL
National Provider Identifier
1639741044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SHIRETTE'S IN HOME CARE, LLC
- Practice address
- 3526 N California Ave Ste 201
Peoria, IL 61603-1164 - Phone
- (309) 669-6504
- Fax
- (309) 590-5590
- NPI assigned
- Jul 14, 2021
- 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
- Mrs. Shirette Williams
- Title
- Owner
- Phone
- (309) 669-6504
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3526 N California Ave Ste 201
Peoria, IL 61603-1164
Mailing address
3526 N California Ave Ste 201
Peoria, IL 61603-1164
Phone (309) 669-6504
Other names 1
- Shirrette's In Home Care, LLC.
National Provider Directory
National Provider Directory- Tax ID family
- Shirette's in Home Care LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Peoria, IL
- NPI 1659020642
Locations
3526 N California Ave
Ste 201
Peoria, IL 61603
Phone (309) 669-6504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1639741044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3526 N CALIFORNIA AVE STE 201",
"city": "PEORIA",
"state": "IL",
"postal_code": "616031164",
"telephone_number": "309-669-6504",
"fax_number": "309-590-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3526 N CALIFORNIA AVE STE 201",
"city": "PEORIA",
"state": "IL",
"postal_code": "616031164",
"telephone_number": "309-669-6504",
"fax_number": "309-590-5590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRETTE'S IN HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "SHIRETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "309-669-6504",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shirrette's In Home Care, LLC.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.