LATISHA MONTGOMERY (NPI# 1689137549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689137549 |
| Entity Type | Individual |
| Full Name | LATISHA MONTGOMERY |
| Practice Address |
2929 N Main St Rockford IL 61103-3199 |
| Practice Telephone | 7792101293 |
| Mailing Telephone | 7792101293 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HOME HEALTH CARE | 929929929 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033482773 | Latisha Lee Montgomery | Speech-Language Pathologist | 1233 N 30th St, Billings, MT 59101-0127 | 2012-02-10 |
| Street Address |
2929 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
| Find all providers in zip 61103 | ||||
| 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 |
| 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 |
| 1609141498 | Good Old Home Care Services | Home Health | 924 N Johnston Ave, Rockford, IL 61101-5246 | 2012-03-13 |
| 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.