DECATUR MEMORIAL HOSPITAL (NPI# 1588751234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588751234 |
| Entity Type | Organization |
| Organization Name | DECATUR MEMORIAL HOSPITAL |
| Practice Address |
2870 N Main St Decatur Memorial Home Care Decatur IL 62526-3234 |
| Mailing Address |
2300 N. Edward St. Decatur IL 62526 |
| Practice Telephone | 2178764600 |
| Practice Fax Number | 2178764660 |
| Mailing Telephone | 2178768121 |
| Mailing Fax Number | 2178762261 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | MR. TIMOTHY D STONE JR. (SENIOR VP & CFO) |
| Authorized Official Telephone | 2178762107 |
| Is Organization Subpart | Y |
| Parent Organization Name | DECATUR MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 2000354 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUECROSS | 9688 | 01 |
| IL | ========= | 05 | |
| IL | BLUE CROSS | 9698 | 01 |
| IL | HEALTHLINK | 149441 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184751273 | Decatur Memorial Hospital | Durable Medical Equipment & Medical Supplies | 2875 N Water St, Decatur, IL 62526-4233 | 2007-02-27 |
| 1548357973 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N. Edward St., Decatur, IL 62526 | 2006-10-06 |
| 1386020402 | Decatur Memorial Hospital | Psychiatric Unit | 2300 N Edward St, Decatur, IL 62526-4163 | 2015-07-31 |
| 1598094153 | Decatur Memorial Hospital | Internal Medicine | 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 | 2009-12-10 |
| 1942352273 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward St, Decatur, IL 62526-4163 | 2007-01-17 |
| 1881781342 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward, Decatur, IL 62526 | 2006-10-06 |
| 1437246865 | Decatur Memorial Hospital | Durable Medical Equipment & Medical Supplies | 102 W Kenwood Ave, Suite 100, Decatur, IL 62526-4368 | 2006-10-06 |
| 1720172307 | Decatur Memorial Hospital | Hospice Care, Community Based | 2870 N Main St, Decatur, IL 62526-3234 | 2006-10-03 |
| 1164477725 | Decatur Memorial Hospital | General Acute Care Hospital | 2300 N Edward St, Gsbll, Decatur, IL 62526-4163 | 2006-05-23 |
| 1639134117 | Decatur Memorial Hospital | Clinic/Center | 2300 N Edward St, Decatur, IL 62526-4163 | 2006-04-19 |
| Street Address |
2870 N MAIN ST DECATUR MEMORIAL HOME CARE |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184720591 | Richard Charles Lohr | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2006-09-15 |
| 1427324003 | R N Enterprises, Inc | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2012-03-28 |
| 1356649537 | Robin Renee Niehaus | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2011-03-11 |
| 1053616656 | Elitecare Center, LLC | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2011-01-13 |
| 1427263573 | Elitecare Center, LLC | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2007-05-11 |
| 1457449134 | Practice Management Associates LLC | Chiropractor | 2870 N Main St, Decatur, IL 62526-3234 | 2006-10-10 |
| 1720172307 | Decatur Memorial Hospital | Hospice Care, Community Based | 2870 N Main St, Decatur, IL 62526-3234 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053102 | Greater Atlanta Home Care Services LLC | Home Health | 1741 Lee St, Decatur, GA 30035-1659 | 2020-05-01 |
| 1114558467 | Whole Hearted Care, Inc | Home Health | 1697 Mckenzie Dr, Decatur, GA 30032-4658 | 2020-01-27 |
| 1376181578 | Tashika T Williams | Home Health | 1024 N Dunham Ave, Decatur, IL 62522-1508 | 2019-12-18 |
| 1710521430 | His Vision Healthcare Services LLC | Home Health | 4153c Flat Shoals Pkwy Ste 330a, Decatur, GA 30034-4863 | 2019-11-06 |
| 1790335305 | Bella's Health Care Services, Inc | Home Health | 2966 Flat Shoals Rd, Decatur, GA 30034-2649 | 2019-09-16 |
| 1659923605 | America's Best Healthcare Services, Inc. | Home Health | 4151 Memorial Dr Ste 111a, Decatur, GA 30032-1598 | 2019-07-10 |
| 1538620984 | Encompass Health Home Health of Alabama, LLC | Home Health | 1690 Beltline Rd Sw Ste B, Decatur, AL 35601-5505 | 2019-03-28 |
| 1811453137 | Au'royal Health Care LLC | Home Health | 3118 Gay Dr Bsmt Office, Decatur, GA 30032-7135 | 2019-02-11 |
| 1396108700 | Optimum Recovery Care | Home Health | 2945 Da Vinci Blvd, Decatur, GA 30034-3120 | 2016-04-02 |
| 1063883031 | True Life Home Care Services LLC | Home Health | 360 W Benson St, 7, Decatur, GA 30030-4330 | 2015-10-15 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.