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BOONE COUNTY COUNCIL ON AGING NPI 1407283906


NPI Information

NPI: 1407283906
Provider Name: BOONE COUNTY COUNCIL ON AGING
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
2141 HENRY LUCKOW LN
BELVIDERE, IL
ZIP 61008
Phone: (815) 544-9893
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BOONE COUNTY COUNCIL ON AGING is an in home supportive care in Belvidere, IL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. BOONE COUNTY COUNCIL ON AGING NPI is 1407283906. The provider is registered as an organization entity type.

The provider's business location address is:

2141 HENRY LUCKOW LN
BELVIDERE, IL
ZIP 61008-700
Phone: (815) 544-9893
Fax: (815) 547-7373

The provider's authorized official is Joe Fortmann .
The authorized official title is Executive Director and has the following contact phone number (815) 544-9893.

The enumeration date for this NPI number is 9/30/2013 and was last updated on 9/30/2013.


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
1253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1INH1001001OTHERILLINOISSTATE OF ILLINOIS CCP CONTRACT

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: 5/5/2024

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