Homebase Health Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HOMEBASE HEALTH CORP

Practice address

1203 Theodore St
Suite 3a
Crest Hill, IL 60403-2084

Phone

(815) 729-9890

NPI assigned

Oct 28, 2010

Organization subpart

No

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

Authorized official

Name

Gerry Gadson

Title

President

Phone

(815) 729-9890

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1649570318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 THEODORE ST",
            "address_2": "SUITE 3A",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604032084",
            "telephone_number": "815-729-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 THEODORE ST",
            "address_2": "SUITE 3A",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604032084",
            "telephone_number": "815-729-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBASE HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GADSON",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-729-9890"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Hartman, PT
• Teresa Martinez Haugen, PT
• Beth Marie Hawkins, LCSW,MAC,CAADC,CCJP
• Helene Doss
• Melissa Marie Higgenbotham, LPN
• Nicole Hooten
• Hope Behavioral Services at the Jeannine Brent Center Incorporated
• Michelle L Horvath, PA-C
• Teneshia Monique Hudson, BSN,RN
• Eman Ibrahim

• Durable Medical Equipment & Medical Supplies in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.