Adams Homecare, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

4000149 Issued in IL

Legal business name

ADAMS HOMECARE, LLC

Doing business as

Lighthouse Homecare

Practice address

100 19TH St
Suite 103
Rock Island, IL 61201-8018

Phone

(309) 786-9982

Fax

(309) 786-3552

NPI assigned

Jun 9, 2011

Last updated

Jun 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kirsten Mavourneen Adams

Title

President / Ceo

Phone

(309) 786-9982

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lighthouse Homecare Doing business as

Locations

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1841584679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 19TH ST",
            "address_2": "SUITE 103",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018018",
            "telephone_number": "309-786-9982",
            "fax_number": "309-786-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 19TH ST",
            "address_2": "SUITE 103",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018018",
            "telephone_number": "309-786-9982",
            "fax_number": "309-786-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "MAVOURNEEN",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "309-786-9982",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000149",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000261",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000402389",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3C, P.C. (Comprehensive Cardiovascular Care)
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• A to a Transportation Provier LLC (A to a Non Emergency Transportation Provider LLC)
• Maria Abu Nseir, MD
• Ach Blanchfield-Ft Campbell (DoD ROCK ISLAND CC ePhcy)
• Taylor Adams
• Krista Adamson, DNP, ARNP
• Lucy Adlfinger
• Advanced Radiology, S.C.
• Michael Ayuen Agok

• Nursing Care Agency in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.