Active NPI
Joanna Tedford
- Home Health Agency
- Decatur, IL
National Provider Identifier
1710628656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JOANNA TEDFORD
- Practice address
- 4174 Starlight Ave
Decatur, IL 62526-1290 - Phone
- (217) 761-5288
- NPI assigned
- Apr 5, 2022
- 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
- Joanna Tedford
- Title
- Owner
- Phone
- (217) 761-5288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
4174 Starlight Ave
Decatur, IL 62526-1290
Mailing address
4174 Starlight Ave
Decatur, IL 62526-1290
Other names 1
- Angels Homecare Agency
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Decatur, IL
- NPI 1326502998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676073600000",
"number": "1710628656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4174 STARLIGHT AVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4174 STARLIGHT AVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261290",
"telephone_number": "217-761-5288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOANNA TEDFORD",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2023-02-11",
"certification_date": "2023-02-11",
"status": "A",
"authorized_official_last_name": "TEDFORD",
"authorized_official_first_name": "JOANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-761-5288"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angels Homecare Agency",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Angels Homecare Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.