Healthcare Provider Details

I. General information

NPI: 1841117884
Provider Name (Legal Business Name): MIDWEST HOME CARE AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5679 N COUNTY ROAD 1020E
MATTOON IL
61938-8529
US

IV. Provider business mailing address

5679 N COUNTY ROAD 1020E
MATTOON IL
61938-8529
US

V. Phone/Fax

Practice location:
  • Phone: 800-548-5898
  • Fax: 217-234-7013
Mailing address:
  • Phone: 800-548-5898
  • Fax: 217-234-7013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LEE MCDEVITT
Title or Position: PRESIDENT
Credential:
Phone: 800-548-5898