| Organization Name: | MEMORIAL HOME SERVICES OF CENTRAL ILLINOIS, INC |
| NPI Number: | 1013037795 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI A VALENTINE (DIRECTOR DURABLE MEDICAL EQUIPMENT) |
| Mailing Address: | 1935 Belt Way Dr Overland |
| State: | MO US |
| Postal Code: | 631145825 |
| Phone Number: | 3142058600 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 08/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336H0001X |
| License Number: | 054-014084 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Home Infusion Therapy Pharmacy |
| Taxonomy Definition: | Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |