PHYSICIAN CARE AT HOME MANAGEMENT COMPANY LLC
NPI 1114458791
General Practice in Rochelle, IL
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physician Care At Home Management Company Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Physician Care At Home Management Company LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Physician Care At Home Management Company LLC enrolled in Medicare?
Yes. Physician Care At Home Management Company LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Physician Care At Home Management Company LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Physician Care At Home Management Company LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Physician Care At Home Management Company Llc · NPI 1114458791
General Practice organization in Rochelle, Illinois. Organization record, active in the CMS NPPES registry since March 24, 2017.
## Identity
- **NPI:** 1114458791 (Entity type: Organization)
- **Enumerated:** March 24, 2017
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Connie Perez, OFFICE MANAGER
## Practice location
- **Address:** 1026 N MAIN ST, Rochelle, IL 61068-1712
- **Phone:** (773) 307-2648 · **Fax:** (773) 942-7454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2021
- **Other identifiers:** Medicaid 036099959 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1114458791) · Data from the CMS NPPES public registry.