NPIMap

Organization Active NPI

SSM Health Businesses

Doing business as SSM Health at Home Home Health Illinois

  • Home Health Agency
  • Glen Carbon, IL
National Provider Identifier
1205105087
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010902 Issued in IL
Legal business name
SSM HEALTH BUSINESSES
Doing business as
SSM Health at Home Home Health Illinois
SSM Home Care of Illinois
Practice address
20 Junction Dr W
Unit 4
Glen Carbon, IL 62034-3060
Phone
(618) 288-8020
Fax
(618) 288-8019
NPI assigned
Dec 22, 2011
Last updated
Jun 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Lisa Sue Schweitzer, RN
Title
Vice President Patient Care Service
Phone
(608) 778-2146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010902 IL Primary

Addresses

Primary practice location

20 Junction Dr W
Unit 4
Glen Carbon, IL 62034-3060

Mailing address

20 Junction Dr W Ste 4
Glen Carbon, IL 62034-3060

Other names 2

  • SSM Health at Home Home Health Illinois Doing business as
  • SSM Home Care of Illinois Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

National Provider Directory

National Provider Directory
Tax ID family
SSM Home Care at St Francis Blue Island10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

10143 Paget Dr
Saint Louis, MO 63132
Phone (888) 705-6060

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1205105087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JUNCTION DR W STE 4",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 JUNCTION DR W",
            "address_2": "UNIT 4",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343060",
            "telephone_number": "618-288-8020",
            "fax_number": "618-288-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSM HEALTH BUSINESSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "SCHWEITZER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "VICE PRESIDENT PATIENT CARE SERVICE",
        "authorized_official_telephone_number": "608-778-2146",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SSM Health at Home Home Health Illinois",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SSM Home Care of Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.