Active NPI
Interim Healthcare Services of Joliet, Inc
- Home Health Agency
- Joliet, IL
National Provider Identifier
1922092006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1002559
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Jul 28, 1982
- Medicare certification status
- Active
- 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Care Agency
- Joliet, IL
- NPI 1609521582
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah Mascarello | 5% Or Greater Direct Ownership Interest | Oct 17, 2023 | 24.5% |
| Cheri Gericke | 5% Or Greater Direct Ownership Interest | Oct 17, 2023 | 51% |
| Corporate Officer | Jan 1, 1995 | 100% | |
| W-2 Managing Employee | Jan 1, 1995 | 100% | |
| Operational/Managerial Control | Oct 17, 2023 | 51% | |
| Lori Mech | 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
- 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
- International Dental Joliet
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.