PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC
NPI 1114458791
General Practice in Rochelle, IL

Active since March 24, 2017
1026 N MAIN ST, ROCHELLE, IL 61068(773) 307-2648(773) 942-7454 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2021, Apr 13, 2017, Mar 24, 2017 (3 updates tracked since 2017).

About Physician Care At Home Management Company Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC (NPI 1114458791) is a healthcare organization registered as a general practice in Rochelle, Illinois and active in the NPI registry since March 2017. The organization lists Connie Perez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114458791
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC
Location Address1026 N MAIN STRochelle, IL 61068-1712
Mailing Address1026 N Main StRochelle, IL 61068-1712 · (773) 307-2648
Fax(773) 942-7454
Organization SubpartNo
Authorized OfficialConnie PerezOffice Manager · (773) 307-2648
Enumeration DateMarch 24, 2017
Last NPPES UpdateAugust 9, 20213 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1114458791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1026 N MAIN ST, Rochelle, IL 61068

Other Identifiers 1

Medicaid036099959IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
1026 N MAIN ST
ROCHELLE, IL 61068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Care At Home Management Company LLC's NPI number?

The NPI number for Physician Care At Home Management Company LLC is 1114458791. It was assigned to this organization in the NPPES registry on March 24, 2017.

Where is Physician Care At Home Management Company LLC located?

Physician Care At Home Management Company LLC is located at 1026 N Main St, Rochelle, IL 61068. The listed phone number is (773) 307-2648.

What is Physician Care At Home Management Company LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Physician Care At Home Management Company LLC was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.