Memorial Home Services Of Central Illinois, Inc

LBN: Memorial Home Services Of Central Illinois, Inc
Memorial Home Services Of Central Illinois, Inc is an health care organization with primary practice located at 306 N Westgate Ave Ste A , Jacksonville IL 62650-3713. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Memorial Home Services Of Central Illinois, Inc can be contacted via phone (217) 788-4663, or through Valentine, Lori via phone (217) 788-4663.

Contact Information

Primary practice address
306 N Westgate Ave Ste A Jacksonville IL 62650-3713
Phone: (217) 788-4663
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Valentine, Lori Registered Nurse (RN)
Phone: (217) 788-4663

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1194134361
LBN Legal business name Memorial Home Services Of Central Illinois, Inc
DBA Doing business as
Authorized official Valentine, Lori Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 12th, 2014
Last updated May 2nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194134361 NPPES
Illinois MEDICAID 361190216013

Popular Providers