NPIMap

Organization Active NPI

Presence Central and Suburban Hospitals Network

Doing business as Presence Saint Joseph Medical Center-Rehab Unit

  • Rehabilitation Hospital Unit
  • Joliet, IL
National Provider Identifier
1124189733
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0004838 Issued in IL
Legal business name
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Doing business as
Presence Saint Joseph Medical Center-Rehab Unit
Practice address
333 Madison St
Joliet, IL 60435-8200
Phone
(815) 725-7133
NPI assigned
Dec 13, 2006
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Richard Douglas Carter
Title
System Finance Officer
Phone
(224) 273-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0004838 IL Primary

Addresses

Primary practice location

333 Madison St
Joliet, IL 60435-8200

Mailing address

333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133

Other names 1

  • Presence Saint Joseph Medical Center-Rehab Unit Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040903000763 IL Part B Supplier - Clinic/Group Practice 8527034263 Receives reassigned benefits from 20 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Joliet, IL; Naperville, IL; New Lenox, IL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Midwest Respiratory LTD4 organizations share this tax ID, including this one
Part of
Mercy Ctr Health

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

191 S Buena Vista St
Ste 420
Burbank, CA 91505
Phone (818) 557-7399

105 N Pecos Rd
Ste 111
Henderson, NV 89074
Phone (702) 263-4555

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1124189733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MADISON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358200",
            "telephone_number": "815-725-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "enumeration_date": "2006-12-13",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "SYSTEM FINANCE OFFICER",
        "authorized_official_telephone_number": "224-273-2350"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IL",
            "license": "0004838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Saint Joseph Medical Center-Rehab Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.