Active NPI
Provena Home Health Inc
- Home Infusion Agency
- Joliet, IL
National Provider Identifier
1326097528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 1010263
- Legal business name
- PROVENA HOME HEALTH INC
- Practice address
- 991 Essington Road
Joliet, IL 60435-8429 - Phone
- (815) 741-7371
- Fax
- (815) 773-7450
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Margaret C Gleason, RN MSN
- Title
- President Ceo
- Phone
- (815) 806-2364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 1010263 | IL | Primary |
Addresses
Primary practice location
991 Essington Road
Joliet, IL 60435-8429
Mailing address
9223 West St Francis Road
Frankfort, IL 60423-8334
Phone (815) 806-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09923563 | Other | IL | BLUE SHIELD |
Other names 1
- Provena Home Infusion Joliet
National Provider Directory
National Provider Directory- Tax ID family
- Provena Home Health Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Infusion Agency
- Champaign, IL
- NPI 1043269442
-
- Home Infusion Agency
- Elgin, IL
- NPI 1205885407
-
- Home Infusion Agency
- Boubonnais, IL
- NPI 1720037120
-
- Home Infusion Agency
- Gurnee, IL
- NPI 1811946213
Locations
9223 W Saint Francis Rd
Frankfort, IL 60423
Phone (815) 806-3111
991 Essington Rd
Joliet, IL 60435
Phone (815) 741-5531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326097528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9223 WEST ST FRANCIS ROAD",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604238334",
"telephone_number": "815-806-2300",
"fax_number": "815-806-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 ESSINGTON ROAD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604358429",
"telephone_number": "815-741-7371",
"fax_number": "815-773-7450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVENA HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GLEASON",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "815-806-2364",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN MSN"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "IL",
"license": "1010263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "09923563",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Provena Home Infusion Joliet",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.