Provena Senior Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PROVENA SENIOR SERVICES

Practice address

1101 E State St
Provena Geneva Care Center
Geneva, IL 60134-2438

Phone

(630) 232-7544

Fax

(630) 232-4409

NPI assigned

Sep 14, 2005

Organization subpart

Yes

Parent organization

PROVENA SENIOR SERVICESAs reported in NPPES

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

Authorized official

Name

Mrs. Denise A Nichols

Title

Dr. Patient Financial Services

Phone

(315) 506-2351

Specialties & licenses 1

Addresses

Other names 1

• Provena Geneva Care Center Doing business as

Part of

Presence Heritage Day Break

Locations

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891780946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19065 HICKORY CREEK PL",
            "address_2": "SUITE 310",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488507",
            "telephone_number": "708-478-7900",
            "fax_number": "708-478-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E STATE ST",
            "address_2": "PROVENA GENEVA CARE CENTER",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342438",
            "telephone_number": "630-232-7544",
            "fax_number": "630-232-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVENA SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVENA SENIOR SERVICES",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DR. PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "315-506-2351",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Provena Geneva Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanna Pritchett, MA
• Elizabeth Proctor, L. AC., DIPL. OM
• Kelsey Proctor
• Arthur Proust, M.D.
• Provena Imaging Services Inc
• Michelle Pytel, PTA
• Sharon Pytel, NP-C
• Elliot Quast, D.C.
• Faaria Quraishi
• R3S LLC

• Skilled Nursing Facility in Geneva, IL
• Providers in Geneva, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.