Organization Active NPI

Home Assist

  • In Home Supportive Care Agency
  • Shiloh, IL
National Provider Identifier
1922541341
Registry record updated Dec 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME ASSIST
Practice address
2241 Country Rd
Suite 2
Shiloh, IL 62221-2560
Phone
(618) 624-0493
Fax
(188) 867-2281
NPI assigned
Dec 3, 2016
Last updated
Dec 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2016

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

Authorized official

Name
Kesu Brown
Title
President
Phone
(314) 575-9064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2241 Country Rd
Suite 2
Shiloh, IL 62221-2560

Mailing address

2241 Country Rd
Suite 2
Shiloh, IL 62221-2560
Phone (618) 624-0493

National Provider Directory

National Provider Directory

Locations

2241 Country Rd
Ste 2
Shiloh, IL 62221
Phone (618) 624-0493

NPI Registry JSON

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480723200000",
    "number": "1922541341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 COUNTRY RD",
            "address_2": "SUITE 2",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622212560",
            "telephone_number": "618-624-0493",
            "fax_number": "188-867-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 COUNTRY RD",
            "address_2": "SUITE 2",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622212560",
            "telephone_number": "618-624-0493",
            "fax_number": "188-867-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KESU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-575-9064"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; 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.