Organization Active NPI

Dynamic Homecare Inc

  • Community Based Hospice Care Agency
  • Charleston, IL
National Provider Identifier
1689670382
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
1655311 Issued in IL
Legal business name
DYNAMIC HOMECARE INC
Practice address
546 W Lincoln Ave
Charleston, IL 61920-2442
Phone
(217) 345-4614
Fax
(217) 348-0057
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Deatrice Ellen Greathouse, RN
Title
Ceo
Phone
(217) 345-4614

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1642234 IL
Community Based Hospice Care Agency 251G00000X 1655311 IL Primary

Addresses

Primary practice location

546 W Lincoln Ave
Charleston, IL 61920-2442

Mailing address

546 W Lincoln Ave
Charleston, IL 61920-2442
Phone (217) 345-4614

National Provider Directory

National Provider Directory

Locations

546 W Lincoln Ave
Charleston, IL 61920
Phone (217) 345-4614

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1689670382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 W LINCOLN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202442",
            "telephone_number": "217-345-4614",
            "fax_number": "217-348-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 W LINCOLN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202442",
            "telephone_number": "217-345-4614",
            "fax_number": "217-348-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GREATHOUSE",
        "authorized_official_first_name": "DEATRICE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-345-4614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1642234",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "1655311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.