NPIMap

Organization Active NPI

Pinckneyville Community Hospital

Doing business as Hospital Home Care

  • Home Health Agency
  • Pinckneyville, IL
National Provider Identifier
1942272885
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1004423 Issued in IL
Legal business name
PINCKNEYVILLE COMMUNITY HOSPITAL
Doing business as
Hospital Home Care
Practice address
101 N Walnut St
Pinckneyville, IL 62274-1034
Phone
(618) 357-2187
Fax
(618) 357-6740
NPI assigned
Feb 5, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PINCKNEYVILLE COMMUNITY HOSPITALAs reported in NPPES

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. Kara Jo Carson
Title
Cfo
Phone
(618) 357-2187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1004423 IL Primary

Addresses

Primary practice location

101 N Walnut St
Pinckneyville, IL 62274-1034

Mailing address

101 N Walnut St
Pinckneyville, IL 62274-1034
Phone (618) 357-2187

Other identifiers 3

IdentifierTypeStateIssuer
054809OtherILHEALTH ALLIANCE ID
9641OtherILBCBS PROVIDER ID
1391501OtherILUNITED HEALTHCARE ID

Other names 1

  • Hospital Home Care Doing business as

National Provider Directory

National Provider Directory
Part of
Pinckneyville Comm Hosp

NPI Registry JSON

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

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942272885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N WALNUT ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741034",
            "telephone_number": "618-357-2187",
            "fax_number": "618-357-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WALNUT ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741034",
            "telephone_number": "618-357-2187",
            "fax_number": "618-357-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCKNEYVILLE COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINCKNEYVILLE COMMUNITY HOSPITAL",
        "enumeration_date": "2006-02-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "618-357-2187",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1004423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE ID",
            "identifier": "054809",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "9641",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID",
            "identifier": "1391501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinckneyville, 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.