Organization Active NPI

Interim Healthcare Services of Joliet, Inc

  • Nursing Care Agency
  • Joliet, IL
National Provider Identifier
1609521582
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
INTERIM HEALTHCARE SERVICES OF JOLIET, INC
Practice address
310 N Hammes Ave Ste 301E
Joliet, IL 60435-8147
Phone
(815) 725-9091
Fax
(815) 725-9094
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Cheryl Lee Gericke
Title
Administator
Phone
(815) 725-9091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

310 N Hammes Ave Ste 301E
Joliet, IL 60435-8147

Mailing address

310 N Hammes Ave Ste 301E
Joliet, IL 60435-8147
Phone (815) 725-9091

Other identifiers 1

IdentifierTypeStateIssuer
4000120MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Interim Healthcare Services of Joliet Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

310 N Hammes Ave
Ste 301E
Joliet, IL 60435
Phone (815) 725-9091

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1609521582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE STE 301E",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358147",
            "telephone_number": "815-725-9091",
            "fax_number": "815-725-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N HAMMES AVE STE 301E",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358147",
            "telephone_number": "815-725-9091",
            "fax_number": "815-725-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HEALTHCARE SERVICES OF JOLIET, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "GERICKE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "815-725-9091"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4000120",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 3, 2022; 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.