Blunck2604Llc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLUNCK2604LLC

Practice address

332 W Marion Ave
Forsyth, IL 62535-1018

Phone

(217) 429-6666

NPI assigned

Sep 21, 2023

Organization subpart

No

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

Authorized official

Name

Jason BlunckNPI 1215634589

Title

Owner

Phone

(217) 855-0660

Specialties & licenses 1

Addresses

Other names 1

• Comfort Keepers Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Blunck

  • Home Health Aide
  • Decatur, IL
  • NPI 1215634589
  NPD Authorized official

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1982483772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W MARION AVE",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625351018",
            "telephone_number": "217-429-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W MARION AVE",
            "city": "FORSYTH",
            "state": "IL",
            "postal_code": "625351018",
            "telephone_number": "217-429-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUNCK2604LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "BLUNCK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-855-0660"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arc at Hickory Point LLC
• Rachel Aupperle, SLP
• Anne Azzo, DMD
• Back Institute, LTD
• Murtuza H Bahrainwala, MD
• Barbara M Bolin, LCPC, LMFT
• Larry D Bolyard
• Lisa Ann Brooks, OTR/L
• Keith Franklin Bumgardner Jr., DPT
• Catherine E. Cavanaugh, D.D.S,, M.S.

• In Home Supportive Care Agency in Forsyth, IL
• Providers in Forsyth, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.