Shirette'S in Home Care, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHIRETTE'S IN HOME CARE, LLC

Practice address

3526 N California Ave Ste 100B
Peoria, IL 61603-1143

Phone

(309) 669-6504

Fax

(309) 590-5590

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Shirette Williams

Title

Owner

Phone

(309) 669-6504

Specialties & licenses 1

Addresses

Tax ID family

Shirette'S in Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shirette'S in Home Care, LLC

  • In Home Supportive Care Agency
  • Peoria, IL
  • NPI 1639741044
  NPD tax ID

Locations

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1659020642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 N CALIFORNIA AVE STE 100B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031143",
            "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 100B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616031143",
            "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": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "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"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Brooke Shill Russell, DO
• Theresa Marie Shimmin
• Jenny Shimon, NCTMB, LMT
• Shine Therapy Services, LLC
• Shirette'S in Home Care, LLC
• Denise Shirk
• Sushma Shivananda, MD
• Rachel Shive
• Caroline Shively, M.S. CCC-SLP
• Thomas R Shoemaker, MSW, LCSW

• Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.