Organization Active NPI

Panoptic Home Care LLC

  • In Home Supportive Care Agency
  • Morris, IL
National Provider Identifier
1922733302
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PANOPTIC HOME CARE LLC
Practice address
1802 N Division St Ste 202
Morris, IL 60450-3104
Phone
(815) 513-3298
Fax
(815) 513-5446
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Gerald Mertes III
Title
President
Phone
(815) 513-3298

Specialties & licenses 1

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

Addresses

Primary practice location

1802 N Division St Ste 202
Morris, IL 60450-3104

Mailing address

1802 N Division St Ste 202
Morris, IL 60450-3104
Phone (815) 513-3298

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WELLSKY Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1922733302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 202",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503104",
            "telephone_number": "815-513-3298",
            "fax_number": "815-513-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 202",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503104",
            "telephone_number": "815-513-3298",
            "fax_number": "815-513-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOPTIC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "MERTES",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-513-3298",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WELLSKY",
            "affiliation": "N",
            "endpointDescription": "electronic emr",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1802 N Division St Ste 202",
            "city": "Morris",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604503104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.