NPIMap

Organization Active NPI

Decatur Memorial Hospital

  • Community Based Hospice Care Agency
  • Decatur, IL
National Provider Identifier
1720172307
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2000354 Issued in IL
Legal business name
DECATUR MEMORIAL HOSPITAL
Doing business as
DMH Home Health Services - Hospice
Practice address
2870 N Main St
Decatur, IL 62526-3234
Phone
(217) 876-6770
Fax
(217) 876-6773
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Mr. Debra L Bragg
Title
VP of Finance
Phone
(217) 876-2107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2000354 IL Primary

Addresses

Primary practice location

2870 N Main St
Decatur, IL 62526-3234

Mailing address

2300 N. Edward
Decatur, IL 62526
Phone (217) 876-2264

Other names 1

  • DMH Home Health Services - Hospice Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1720172307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N. EDWARD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-876-2264",
            "fax_number": "217-876-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263234",
            "telephone_number": "217-876-6770",
            "fax_number": "217-876-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "217-876-2107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2000354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMH Home Health Services - Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DMH Home Health Services - Hospice",
            "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 May 13, 2019; 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.