NPIMap

Organization Active NPI

Western Illinois Home Health Care, Inc.

  • Home Health Agency
  • Monmouth, IL
National Provider Identifier
1831203546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1006816 Issued in IL
Legal business name
WESTERN ILLINOIS HOME HEALTH CARE, INC.
Practice address
2 Industrial Park Ave
Monmouth, IL 61462-9698
Phone
(309) 734-9376
Fax
(309) 734-5338
NPI assigned
Aug 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Barbara A Byers
Title
President / Ceo
Phone
(309) 734-9376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1006816 IL Primary

Addresses

Primary practice location

2 Industrial Park Ave
Monmouth, IL 61462-9698

Mailing address

2 Industrial Park Ave
PO Box 856
Monmouth, IL 61462-9698
Phone (309) 734-9376

Other identifiers 1

IdentifierTypeStateIssuer
9738OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000043 IL Part A Provider - Home Health Agency 7810158359 Practice locations: Monmouth, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831203546. Details of each certification follow.

Home health agency certification: CCN 147204

Legal name
WESTERN ILLINOIS HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 30, 1981
Last certification
Jul 1, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 30, 1994 in IL
Enrollment address
2 Industrial Park Road
Monmouth, IL 61462-0856

Care Compare: Home health agency

Medicare Care Compare
Listed as
Western Ill Home HLTH Care inCCN 147204 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 30, 1981
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0431449Western Illinois Home Health Care#2 Industrial Park Avenue, Monmouth, IL 61462Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amanda Newman Individual Corporate OfficerSecretary, Treasurer, Ceo Mar 23, 2022
Corporate DirectorBoard Member Mar 23, 2022
W-2 Managing EmployeeCeo Dec 1, 2021
Ronnie Byers Individual 5% Or Greater Direct Ownership InterestBoard President Jun 30, 1994 100%
Corporate OfficerPresident Jun 30, 1994 100%
Corporate DirectorBoard Member Jun 30, 1994 100%
W-2 Managing EmployeeBoard Member Jun 30, 1994 100%
Joel Newman Individual Corporate OfficerVice President, Director Mar 23, 2022
Corporate DirectorBoard Member Mar 23, 2022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 38

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831203546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK AVE",
            "address_2": "PO BOX 856",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614629698",
            "telephone_number": "309-734-9376",
            "fax_number": "309-734-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL PARK AVE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614629698",
            "telephone_number": "309-734-9376",
            "fax_number": "309-734-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ILLINOIS HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "309-734-9376",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1006816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9738",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth, IL

Sources for this page

Verify at the official NPI Registry.