Interim Healthcare of Downstate Illinois

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INTERIM HEALTHCARE OF DOWNSTATE ILLINOIS

Practice address

1223 W Pioneer Pkwy
Peoria, IL 61615-1936

Phone

(309) 296-0056

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Colgan, RN

Title

Clinical Supervisor

Phone

(309) 696-3822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1174274237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 W PIONEER PKWY",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151936",
            "telephone_number": "309-296-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 W PIONEER PKWY",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151936",
            "telephone_number": "309-296-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE OF DOWNSTATE ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "COLGAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "309-696-3822",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspirit Health PC
• Institute of Physical and Medicine Rehabilitation
• Institute of Physical Medicine and Rehabilitation
• Integramed Medical Illinois, LLC
• Integrated Wellness
• Internal Medicine Group of Peoria SC
• Umair Iqbal, M.D.
• Iris Home Health Services LLC
• John Michael Irish, MD
• Ironwood Counseling, LLC

• All providers in Peoria, IL
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.