Presence Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010260 Issued in IL

Legal business name

PRESENCE HOME CARE

Doing business as

Presence Home Care - Elgin

Practice address

799 S McLean Blvd
Elgin, IL 60123-6704

Phone

(847) 931-5553

Fax

(847) 622-2055

NPI assigned

May 10, 2006

Last updated

Apr 12, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

PROVENA HEALTHAs reported in NPPES

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

Authorized official

Name

Michael Gordon

Title

Cfo

Phone

(708) 478-7911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Presence Home Care - Elgin Doing business as

Member of 1

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

• Presence Life Connections

  dba Ascension Living Saint Anne Place

  • Skilled Nursing Facility
  • Rockford, IL
  • NPI 1114913241

  Member Of

  NPD member

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1942259346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 W ST FRANCIS RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604238334",
            "telephone_number": "815-806-2300",
            "fax_number": "815-806-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 S MCLEAN BLVD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236704",
            "telephone_number": "847-931-5553",
            "fax_number": "847-622-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVENA HEALTH",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "708-478-7911"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50150",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Home Care - Elgin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Presence Central and Suburban Hospitals Network
• Presence Central and Suburban Hospitals Network (Presence St. Joseph Hospital-Elgin Rehab Unit)
• Presence Central and Suburban Hospitals Network (Presence Saint Joseph Hospital - Elgin)
• Presence Central and Suburban Hospitals Network (Presence St. Joseph Hospital - Elgin Psychiatric Unit)
• Presence Central and Suburban Hospitals Network (Presence St. Joseph Hospital-Elgin)
• Presence Saint Joseph Hospital - Elgin (Anticoagulation Clinic)
• Presence Saint Joseph Hospital-Elgin (Heart Failure Clinic)
• Presence St. Joseph Hospital - Elgin (Heart Failure & Anticoagulation Clinic)
• Lynette M. Preston, LCPC
• Cynthia Louise Prevatke, RN

• Home Health Agency in Elgin, IL
• Providers in Elgin, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.