Bethany L Skowronski
Individual provider Active NPI In Home Supportive Care Agency · Genoa, IL
NPI 1275332892 · NPPES record last updated Mar 8, 2025
Key facts
- NPI
- 1275332892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 115 Elm St
Genoa, IL 60135-1211 - Phone
- (630) 740-4869
- NPI assigned
- Mar 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
115 Elm St
Genoa, IL 60135-1211
Mailing address
130 Primrose LN
Davis Junction, IL 61020-9545
Phone (630) 740-4869
Other providers in Genoa, IL
- Patricia Maria Pasillas Cardenas
- Sherie Anne Perdue
- Jean Michelle Reiss
- Nan Elaine Ryan
- Shree Verai Aa Medventure Inc
- Steven J. Disanti D.O. S.C.
- Jorge Mauricio Trejo
- Karen Sue Trost
- Christine L. Valentine
All providers in Genoa, IL · In Home Supportive Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.