=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518980614
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GALESBURG HOME CARE CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 427 E FREMONT ST
-----------------------------------------------------
City | GALESBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61401-0505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-343-9031
-----------------------------------------------------
Fax | 309-343-8057
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 427 E FREMONT ST
-----------------------------------------------------
City | GALESBURG
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61401-0505
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-343-9031
-----------------------------------------------------
Fax | 309-343-8057
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF OPERATIONS
-----------------------------------------------------
Name | MRS. TEDDIE RINEHART
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 309-343-9031
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251F00000X
-----------------------------------------------------
Taxonomy Name | Home Infusion Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------