Organization Active NPI

Presence Home Care

Doing business as Presence Home Care - Joliet

  • Home Health Agency
  • Joliet, IL
National Provider Identifier
1881645125
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010263 Issued in IL
Legal business name
PRESENCE HOME CARE
Doing business as
Presence Home Care - Joliet
Practice address
50 Uno Cir, Ste East
Joliet, IL 60435-8159
Phone
(815) 741-7371
Fax
(815) 741-7372
NPI assigned
May 12, 2006
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESENCE CARE TRANSFORMATION CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Mary Jo Mackniskas
Title
Senior Director
Phone
(773) 213-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010263 IL Primary

Addresses

Primary practice location

50 Uno Cir, Ste East
Joliet, IL 60435-8159

Mailing address

50 Uno Cir, Ste East
Joliet, IL 60435-8159
Phone (815) 741-7371

Other identifiers 1

IdentifierTypeStateIssuer
50160OtherILBCBS

Other names 1

  • Presence Home Care - Joliet Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Presence Saint Joseph Hospital Chicago

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

50 Uno Cir
Ste East
Joliet, IL 60435
Phone (815) 741-7371

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2025 Change of OwnershipThis provider was the seller Prime Home Care - JolietCCN 147481, IL, NPI 1740098276

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1881645125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNO CIR, STE EAST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358159",
            "telephone_number": "815-741-7371",
            "fax_number": "815-741-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNO CIR, STE EAST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358159",
            "telephone_number": "815-741-7371",
            "fax_number": "815-741-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE CARE TRANSFORMATION CORPORATION",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "MACKNISKAS",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "773-213-0776"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Home Care - Joliet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.