NPIMap

Organization Active NPI

Kewanee Hospital

  • Home Health Agency
  • Kewanee, IL
National Provider Identifier
1821184359
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002 Issued in IL
Legal business name
KEWANEE HOSPITAL
Practice address
1051 W South St
Kewanee, IL 61443-8354
Phone
(309) 852-7900
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Joe Berry
Title
Business Ofc Manager
Phone
(309) 852-7540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL
Home Health Agency 251E00000X 002 IL Primary

Addresses

Primary practice location

1051 W South St
Kewanee, IL 61443-8354

Mailing address

1051 W South St
Kewanee, IL 61443-8354
Phone (309) 852-7500

Other identifiers 1

IdentifierTypeStateIssuer
9874OtherBCBS

Other names 1

  • HOME HEALTH Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1821184359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W SOUTH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614438354",
            "telephone_number": "309-852-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWANEE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "BUSINESS OFC MANAGER",
        "authorized_official_telephone_number": "309-852-7540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kewanee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.