Organization Active NPI

Carepaks Health Services Incorporated

Doing business as Carepaks Medical supplies

  • Home Health Agency
  • Normal, IL
National Provider Identifier
1902916133
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1009265 Issued in IL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02006-N048OtherILDEPT. OF LABOR/STAFFING
1009265OtherILHOME HEALTH CERTIFICATION

Other names 1

  • Carepaks Medical supplies Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.