Organization Active NPI

State of Il Dept of Human Services

  • Home Health Agency
  • Joliet, IL
National Provider Identifier
1104361633
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1744428 Issued in IL
Legal business name
STATE OF IL DEPT OF HUMAN SERVICES
Practice address
1617 W Jefferson St
Joliet, IL 60435-6724
Phone
(815) 730-4231
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Elizabeth Rittenbacher, LPNNPI 1992242051
Title
LPN
Phone
(815) 426-6299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1744428 IL Primary

Addresses

Primary practice location

1617 W Jefferson St
Joliet, IL 60435-6724

Mailing address

3334 N 12,000 W Road
Bonfield, IL 60913-7383
Phone (815) 426-6299

National Provider Directory

National Provider Directory

Locations

1617 W Jefferson St
Joliet, IL 60435
Phone (815) 730-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1104361633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 N 12,000 W ROAD",
            "city": "BONFIELD",
            "state": "IL",
            "postal_code": "609137383",
            "telephone_number": "815-426-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356724",
            "telephone_number": "815-730-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF IL DEPT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "RITTENBACHER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "815-426-6299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1744428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.