GOOD OLD HOME CARE SERVICES (NPI# 1609141498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609141498 |
| Entity Type | Organization |
| Organization Name | GOOD OLD HOME CARE SERVICES |
| Practice Address |
924 N Johnston Ave Rockford IL 61101-5246 |
| Mailing Address |
Po Box 6286 Rockford IL 61125-1286 |
| Practice Telephone | 8152626780 |
| Practice Fax Number | 8157086163 |
| Mailing Telephone | 8152626780 |
| Mailing Fax Number | 8157086163 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |
| Authorized Official Name | MRS. JODI DANDRIDGE (OWNER/CEO) |
| Authorized Official Telephone | 8152626780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
924 N JOHNSTON AVE |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61101-5246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417338799 | Latavia Shantaye Agada | Social Worker | 2823 Glenwood Ave., Rockford, IL 61101 | 2015-06-12 |
| 1013397561 | Charlene Donahoe | Student in an Organized Health Care Education/Training Program | 235 Wyman St, Rockford, IL 61101 | 2015-05-30 |
| 1205238623 | Crusaders Central Clinic Association | Clinic/Center | 1002 N Pierpont Ave, Rockford, IL 61101 | 2014-09-17 |
| 1780717454 | Hearing Pros Inc | Audiologist | 3902 West Riverside Blvd, In Wal Mart, Rockford, IL 61101 | 2007-03-13 |
| 1821156951 | Neurological Clinic of Rockford Sc | Neurological Surgery | 2825 Glenwood Avenue, Rockford, IL 61101 | 2006-12-04 |
| 1265470496 | Daniel Sommer | Social Worker | 2823 Glenwood Avenue, Rockford, IL 61101 | 2006-06-02 |
| 1508093253 | Patricia Kroll | Social Worker | 526 W State Street, Rockford, IL 61101 | 2009-06-19 |
| 1346462330 | Carol J O'haron | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1356563332 | Lynn E Cadmus | Social Worker | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| 1083836928 | Carol L Craig | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101 | 2007-05-02 |
| Find all providers in zip 61101 | ||||
| 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 |
|---|---|---|---|---|
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1689137549 | Latisha Montgomery | Home Health | 2929 N Main St, Rockford, IL 61103-3199 | 2019-04-08 |
| 1598243800 | Sure Way Home Healthcare | Home Health | 4201 Auburn St, Rockford, IL 61101-2584 | 2018-07-30 |
| 1679973887 | Pf Development 5, LLC | Home Health | 4430 Manchester Dr, Suite G-1, Rockford, IL 61109-8316 | 2014-08-26 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1508279324 | 2 Sisters Home Healthcare Inc. | Home Health | 6019 Fincham Dr Ste 9, Rockford, IL 61108-2550 | 2014-06-09 |
| 1548605314 | Sisters United In Care | Home Health | 1827 Eastmoreland Ave, Rockford, IL 61108-6369 | 2013-05-06 |
| 1740525914 | Tlc Care Plus Home Health, LLC | Home Health | 8460 Algoma Ave Ne, Suite A, Rockford, MI 49341-7968 | 2012-11-29 |
| 1891064309 | Caring Hearts At Home, LLC | Home Health | 2000 Balsam Ln, Rockford, MN 55373-4587 | 2011-12-29 |
| 1659659811 | Provisional Home Health LLC | Home Health | 4110 Maple Hurst Dr S, Rockford, MN 55373-4565 | 2011-07-21 |
| Find all providers in ROCKFORD | ||||
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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.