Organization
SPRINGFIELD ILLINOIS HOMECARE LLC
Active
Other names
Visiting Angels
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROD A LANE MBA (OWNER/EXECUTIVE DIRECTOR)
(217) 299-2928
Entity
Organization
Contact information
Practice address
2731 S MACARTHUR BLVD STE 201, SPRINGFIELD, IL 62704-5081
(217) 299-2928
(217) 568-6309
Mailing address
2731 S MACARTHUR BLVD STE 201, SPRINGFIELD, IL 62704-5081
(217) 299-2928
(217) 568-6309
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001655
PRIVATE PAY ETC
IL
Enumeration date
05/21/2020
Last updated
08/17/2023
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