NPIMap

Organization Active NPI

Katherine Shaw Bethea Hospital

  • Home Health Agency
  • Dixon, IL
National Provider Identifier
1811987134
Registry record updated Dec 29, 2022
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Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1001841 Issued in IL
Legal business name
KATHERINE SHAW BETHEA HOSPITAL
Practice address
403 E 1St St
Dixon, IL 61021-3116
Phone
(815) 285-5738
NPI assigned
Oct 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Mr. David Schreiner
Title
Administrator
Phone
(815) 284-5710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1001841 IL Primary

Addresses

Primary practice location

403 E 1St St
Dixon, IL 61021-3116

Mailing address

101 W 2ND St
Suite 203
Dixon, IL 61021-3076
Phone (815) 284-5710

Other names 1

  • KSB Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1811987134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 2ND ST",
            "address_2": "SUITE 203",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213076",
            "telephone_number": "815-284-5710",
            "fax_number": "815-285-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 E 1ST ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213116",
            "telephone_number": "815-285-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE SHAW BETHEA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "SCHREINER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-284-5710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1001841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KSB Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KSB Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.