NPIMap

Organization Active NPI

Proctor Community Hospital

  • Home Health Agency
  • Peoria, IL
National Provider Identifier
1487624318
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1009695 Issued in IL
Legal business name
PROCTOR COMMUNITY HOSPITAL
Practice address
5409 N Knoxville Ave
Peoria, IL 61614-5016
Phone
(309) 691-1000
NPI assigned
Jan 24, 2006
Organization subpart
Yes
Parent organization
PROCTOR HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Authorized official

Name
Mr. Stephen M. Cirone
Title
Regional MGR Reimb/Rev Recognition
Phone
(309) 672-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1009695 IL Primary

Addresses

Primary practice location

5409 N Knoxville Ave
Peoria, IL 61614-5016

Mailing address

5409 N Knoxville Ave
Peoria, IL 61614-5016
Phone (309) 691-1000

Other names 1

  • Proctor Home Care Doing business as

National Provider Directory

National Provider Directory
Part of
Belcrest LTD

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1487624318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145016",
            "telephone_number": "309-691-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145016",
            "telephone_number": "309-691-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCTOR COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROCTOR HOSPITAL",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "CIRONE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "REGIONAL MGR REIMB/REV RECOGNITION",
        "authorized_official_telephone_number": "309-672-4813",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1009695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proctor Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Proctor Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.