NPIMap

Organization Active NPI

Solid Source Healthcare Resources LLC

  • In Home Supportive Care Agency
  • Ottawa, IL
National Provider Identifier
1821391889
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000691 Issued in IL
Legal business name
SOLID SOURCE HEALTHCARE RESOURCES LLC
Doing business as
Solid Source Home Services
Practice address
911 Ottawa Ave
Suite 2
Ottawa, IL 61350-3321
Phone
(815) 510-7109
NPI assigned
Dec 14, 2010
Organization subpart
Yes
Parent organization
SOLID SOURCE HEALTHCARE RESOURCES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Tosheta Brown
Title
President
Phone
(815) 510-7109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000691 IL Primary

Addresses

Primary practice location

911 Ottawa Ave
Suite 2
Ottawa, IL 61350-3321

Mailing address

100 W Superior St
Unit 1
Ottawa, IL 61350-2093
Phone (815) 510-7109

Other names 1

  • Solid Source Home Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Solid Source Healthcare Resources LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1821391889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W SUPERIOR ST",
            "address_2": "UNIT 1",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613502093",
            "telephone_number": "815-510-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OTTAWA AVE",
            "address_2": "SUITE 2",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613503321",
            "telephone_number": "815-510-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLID SOURCE HEALTHCARE RESOURCES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLID SOURCE HEALTHCARE RESOURCES LLC",
        "enumeration_date": "2010-12-14",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TOSHETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-510-7109"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solid Source Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.