WILLIAMSON COUNTY PROGRAMS ON AGING HOME HEALTH NPI 1083729909

NPI Information

  • NPI: 1083729909
  • Provider Name: WILLIAMSON COUNTY PROGRAMS ON AGING HOME HEALTH
  • Classification: Home Health - 251E00000X
  • Entity Type: Organization
  • Address: 204 RUSHING DR
    HERRIN, IL
    ZIP 62948
  • Phone: (618) 993-5165

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NPI Details

WILLIAMSON COUNTY PROGRAMS ON AGING HOME HEALTH is a home health in Herrin, IL. The provider is 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. WILLIAMSON COUNTY PROGRAMS ON AGING HOME HEALTH NPI is 1083729909. The provider is registered as an organization entity type.

The provider's business location address is:

204 RUSHING DR
HERRIN, IL
ZIP 62948-713
Phone: (618) 993-5165
Fax: (618) 993-5721

The provider's authorized official is Jo Boester .
The authorized official title is Clinical Director and has the following contact phone number (618) 942-6933.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome Health1003771ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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