Organization Active NPI

Interim Healthcare Services of Joliet, Inc

  • Home Health Agency
  • Joliet, IL
National Provider Identifier
1922092006
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1002559 Issued in IL
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
Sep 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Mrs. Cheryl L Gericke
Title
Owner
Phone
(815) 725-9091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1002559 IL Primary
Nursing Care Agency 251J00000X

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017000708 IL Part A Provider - Home Health Agency 2567488810 Practice locations: Joliet, IL

Home health agency certification: CCN 147224

Legal name
INTERIM HEALTHCARE SERVICES OF JOLIET INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 28, 1982
Last certification
Aug 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 1, 1977 in IL
Enrollment address
310 N Hammes Ave
Ste 301E
Joliet, IL 60435

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare Services of Joliet IncCCN 147224
Ownership
Proprietary
Certified
Jul 28, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah Mascarello Individual 5% Or Greater Direct Ownership Interest Oct 17, 2023 24.5%
Cheri Gericke Individual 5% Or Greater Direct Ownership Interest Oct 17, 2023 51%
Corporate OfficerTreasurer Jan 1, 1995 100%
W-2 Managing EmployeeBusiness Manager Jan 1, 1995 100%
Operational/Managerial Control Oct 17, 2023 51%
Lori Mech Individual 5% Or Greater Direct Ownership Interest Oct 17, 2023 24.5%

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1922092006",
    "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": "2005-09-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "GERICKE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-725-9091",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1002559",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.