Pekin Prohealth Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PEKIN PROHEALTH INC

Doing business as

Procare Home Health Service

Practice address

1126 Peoria St
Peru, IL 61354-2642

Phone

(815) 223-8180

Fax

(815) 223-2569

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott Leigh Haynes

Title

Director

Phone

(309) 347-4663

Specialties & licenses 1

Addresses

Other names 1

• PROCARE HOME HEALTH SERVICE Doing business as

Tax ID family

Pekin Prohealth 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.

• Pekin Prohealth Inc

  dba PHI X-Ray

  • Radiology Clinic/Center
  • Pekin, IL
  • NPI 1740433531
  NPD tax ID

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801840822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 N 8TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615542103",
            "telephone_number": "309-347-4663",
            "fax_number": "309-347-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 PEORIA ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613542642",
            "telephone_number": "815-223-8180",
            "fax_number": "815-223-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKIN PROHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-347-4663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCARE HOME HEALTH SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osf Healthcare System (OSF Healthcare Home Medical Equipment)
• Ottawa Regional Hospital & Healthcare Center (OSF Saint Elizabeth Medical Center)
• Anju Patel, MD
• Path to Healing and Wellness PLLC
• Anna Zofia Peek, FNP
• Patricia Alina Pelaez, CADC
• Constantino Perales Jr., M.D.
• Peru Elem School District 124
• Peru Emergency Physicians, LLP
• Peru Primary Care Professionals LLC

• Oxygen Equipment & Supplies (DME) in Peru, IL
• Providers in Peru, IL by specialty
• Oxygen Equipment & Supplies (DME) in Illinois

• 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.

Verify at the official NPI Registry.