Henderson County

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1001502 Issued in IL

Legal business name

HENDERSON COUNTY

Practice address

208 West Elm Street
Gladstone, IL 61437
UM

Phone

(309) 627-2812

Fax

(309) 627-2793

NPI assigned

Sep 9, 2008

Last updated

Feb 20, 2024By 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. Diana Seitz

Title

Office Manager

Phone

(309) 627-2812

Specialties & licenses 1

Addresses

Tax ID family

Henderson County2 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.

• Henderson County

  dba Henderson County Health Department Hospice

  • Community Based Hospice Care Agency
  • Gladstone, IL
  • NPI 1437425378
  NPD tax ID

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1891944393",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "P O BOX 220",
            "address_2": "208 WEST ELM STREET",
            "city": "GLADSTONE",
            "state": "IL",
            "postal_code": "61437",
            "telephone_number": "309-627-2812",
            "fax_number": "309-627-2793"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "208 WEST ELM STREET",
            "city": "GLADSTONE",
            "state": "IL",
            "postal_code": "61437",
            "telephone_number": "309-627-2812",
            "fax_number": "309-627-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "SEITZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-627-2812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1001502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.