=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538790621
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JUST RIGHT AT HOME, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2020
-----------------------------------------------------
Last Update Date | 06/02/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1N102 PLEASANT HILL RD
-----------------------------------------------------
City | WINFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60190-2273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-243-3148
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1N102 PLEASANT HILL RD
-----------------------------------------------------
City | WINFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60190-2273
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-454-1445
-----------------------------------------------------
Fax | 630-243-4688
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | JULEE LOCKARD
-----------------------------------------------------
Credential | MS, OTR/L, CAPS
-----------------------------------------------------
Telephone | 708-243-3148
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XE0001X
-----------------------------------------------------
Taxonomy Name | Environmental Modification Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225XH1300X
-----------------------------------------------------
Taxonomy Name | Human Factors Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------