SERVUCARE HOME CARE (NPI# 1689280943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689280943 |
| Entity Type | Organization |
| Organization Name | SERVUCARE HOME CARE |
| Practice Address |
4803 Javelin Dr Rockford IL 61108-2301 |
| Practice Telephone | 7795378837 |
| Mailing Telephone | 7795378837 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | MRS. KAWONIA NEELY (CEO) |
| Authorized Official Telephone | 7795378837 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
4803 JAVELIN DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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.