Active NPI
Interim Healthcare Services of Joliet, Inc
- Nursing Care Agency
- Joliet, IL
National Provider Identifier
1609521582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4000120 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Interim Healthcare Services of Joliet Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Joliet, IL
- NPI 1922092006
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
- Inspire Counseling Services LLC
- Inspire Senior Care, LLC
- Integrated Health Source S.C.
- Integrated Home Care Services Chicago
- Integrated Pain Management, SC
- Interim Healthcare Services of Joliet, Inc
- Internal Medicine & Family Practice, S.C.
- Internal Medicine and Family Physicians, SC
- International Dental Center
- International Dental Center
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.