Organization Active NPI

St Marys Hospital Streator Hospital Sisters of the 3Rd Ordr St Francis

  • Home Health Agency
  • Streator, IL
National Provider Identifier
1336146729
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1001791 Issued in IL
Legal business name
ST MARYS HOSPITAL STREATOR HOSPITAL SISTERS OF THE 3RD ORDR ST FRANCIS
Doing business as
ST MARYS HOME HEALTH
Practice address
111 Spring St
Streator, IL 61364-3332
Phone
(815) 673-4516
Fax
(815) 673-4542
NPI assigned
Jun 30, 2005
Organization subpart
Yes
Parent organization
ST MARYS HOSPITAL STREATOR HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mark S O'Halla
Title
Executive Vice President
Phone
(815) 673-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1001791 IL Primary

Addresses

Primary practice location

111 Spring St
Streator, IL 61364-3332

Mailing address

111 Spring St
Streator, IL 61364-3332
Phone (815) 673-4516

Other names 1

  • ST MARYS HOME HEALTH Doing business as

National Provider Directory

National Provider Directory
Part of
St Mary'S Hospital Streator Hospital Sisters of the 3Rd Order St Fran

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1336146729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SPRING ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613643332",
            "telephone_number": "815-673-4516",
            "fax_number": "815-673-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SPRING ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613643332",
            "telephone_number": "815-673-4516",
            "fax_number": "815-673-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS HOSPITAL STREATOR HOSPITAL SISTERS OF THE 3RD ORDR ST FRANCIS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARYS HOSPITAL STREATOR HOSPITAL",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "O'HALLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "815-673-2311"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1001791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST MARYS HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Streator, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.