Healthcare Provider Details

I. General information

NPI: 1518980614
Provider Name (Legal Business Name): GALESBURG HOME CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 E FREMONT ST
GALESBURG IL
61401-0505
US

IV. Provider business mailing address

427 E FREMONT ST
GALESBURG IL
61401-0505
US

V. Phone/Fax

Practice location:
  • Phone: 309-343-9031
  • Fax: 309-343-8057
Mailing address:
  • Phone: 309-343-9031
  • Fax: 309-343-8057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: MRS. TEDDIE RINEHART
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 309-343-9031