Active NPI
Carepaks Health Services Incorporated
Doing business as Carepaks Medical supplies
- Home Health Agency
- Normal, IL
National Provider Identifier
1902916133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1009265
- Legal business name
- CAREPAKS HEALTH SERVICES INCORPORATED
- Doing business as
- Carepaks Medical supplies
- Practice address
- 209 Susan Dr
Normal, IL 61761-6188 - Phone
- (309) 454-1000
- Fax
- (309) 454-5000
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathy C. Ebo, R.N.
- Title
- Director
- Phone
- (309) 454-1000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1009265 | IL | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 5569640001 | IL |
Addresses
Primary practice location
209 Susan Dr
Normal, IL 61761-6188
Mailing address
209 Susan Dr
Normal, IL 61761-6188
Phone (309) 454-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02006-N048 | Other | IL | DEPT. OF LABOR/STAFFING |
| 1009265 | Other | IL | HOME HEALTH CERTIFICATION |
Other names 1
- Carepaks Medical supplies
National Provider Directory
National Provider DirectoryLocations
209 Susan Dr
Normal, IL 61761
Phone (309) 212-0221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1902916133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 SUSAN DR",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616188",
"telephone_number": "309-454-1000",
"fax_number": "309-454-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 SUSAN DR",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616188",
"telephone_number": "309-454-1000",
"fax_number": "309-454-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAREPAKS HEALTH SERVICES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "EBO",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "309-454-1000",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1009265",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "IL",
"license": "5569640001",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR/STAFFING",
"identifier": "02006-N048",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH CERTIFICATION",
"identifier": "1009265",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carepaks Medical supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Normal, IL
- Nicholas Caporale
- Dennis W Cappitelli, DO
- Kasey Cardwell
- Carepaks Health Services Incorporated
- Carepaks Health Services Incorporated
- Susan M Carl, APN
- Carle Bromenn Medical Center (Bromenn Family Health Clinic)
- Carle Bromenn Medical Center (Advocate BroMenn Medical Center)
- Carle Bromenn Medical Center (Advocate BroMenn Medical Center)
- Carle Bromenn Medical Center (The Atrium Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.