PRESENCE LIFE CONNECTIONS (NPI# 1164417218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164417218 |
| Entity Type | Organization |
| Organization Name | PRESENCE LIFE CONNECTIONS |
| Practice Address |
670 N. Convent St. Bourbonnais IL 60914 |
| Practice Telephone | 8159286141 |
| Practice Fax Number | 8159363238 |
| Mailing Telephone | 7084787913 |
| Mailing Fax Number | 7084785387 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2018-06-14 |
| Authorized Official Name | MICHEAL GORDON (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 7084787911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NADP NUMBER | 100290810 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953853 | Presence Life Connections | Pharmacy | 670 N Convent St, Bourbonnais, IL 60914-1332 | 2015-10-01 |
| 1396731428 | Presence Life Connections | Skilled Nursing Facility | 611 Allen Ln, St. Charles, IL 60174-1355 | 2005-09-23 |
| 1205822335 | Presence Life Connections | Skilled Nursing Facility | 400 Sullivan Rd, Aurora, IL 60506-1452 | 2005-09-23 |
| 1568458693 | Presence Life Connections | Skilled Nursing Facility | 20 Briarcliff Ln, Bourbonnais, IL 60914-1665 | 2005-09-23 |
| 1114913241 | Presence Life Connections | Skilled Nursing Facility | 4405 Highcrest Rd, Rockford, IL 61107-1452 | 2005-09-23 |
| 1477549509 | Presence Life Connections | Skilled Nursing Facility | 901 N Entrance Ave, Kankakee, IL 60901-2026 | 2005-09-23 |
| 1922094051 | Presence Life Connections | Skilled Nursing Facility | 210 Springfield Ave, Joliet, IL 60435-6589 | 2005-09-23 |
| 1023004157 | Presence Life Connections | Skilled Nursing Facility | 659 E Jefferson Street, Freeport, IL 61032-6027 | 2005-09-23 |
| 1124013255 | Presence Life Connections | Skilled Nursing Facility | 3330 Maria Linden Dr, Rockford, IL 61114-5480 | 2005-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESENCE LIFE CONNECTIONS | 18927 Hickory Creek Dr Ste 300, Mokena, IL 60448-8652 |
| Street Address |
670 N. CONVENT ST. |
| City | BOURBONNAIS |
| State | IL |
| Zip Code | 60914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1467069823 | Alicia Nicole Kendra | Nurse Practitioner | Upliftedcare, 482 Main St. Nw, Bourbonnais, IL 60914 | 2020-09-29 |
| 1043860877 | Victor Manuel Vazquez Cervantes | Pharmacist | 2080 No, Il-50, Bourbonnais, IL 60914 | 2019-09-13 |
| 1740843267 | Panoptic Physical Therapy LLC | Physical Medicine & Rehabilitation | 1511 N. Convent St Suite 1000, Bourbonnais, IL 60914 | 2019-04-19 |
| 1770074577 | Colin P Koerner | Physical Therapist | 215 N Convent St Ste 6, Bourbonnais, IL 60914 | 2018-05-29 |
| 1306337340 | Megan Hoskins | Behavior Technician | 3187 N 2420 W Rd., Bourbonnais, IL 60914 | 2018-05-25 |
| 1932600459 | Thomas H George Dds PC | Clinic/Center | 14 Briarcliff Professional Center, Bourbonnais, IL 60914 | 2018-02-21 |
| 1780193904 | Kathleen M Saindon II | Speech-Language Pathologist | 1021 Deer Trail, Bourbonnais, IL 60914 | 2017-09-20 |
| 1457870206 | Janet Mary Notton | Speech-Language Pathologist | 920 W Margaret Lane, Bourbonnais, IL 60914 | 2017-09-13 |
| 1134646375 | Sagar Batish | Student in an Organized Health Care Education/Training Program | 1096 Country Lane, Bourbonnais, IL 60914 | 2017-08-28 |
| Find all providers in zip 60914 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588779516 | Riverview Pharmacies Inc | Pharmacy | 475 Brown Blvd, Suite 105, Bourbonnais, IL 60914-2325 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512989 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Hwy Ste 102, Chicago Ridge, IL 60415-2704 | 2020-09-15 |
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1750841342 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr Ste 200, Silvis, IL 61282-2904 | 2019-03-21 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1538672449 | Wear Ltc | Pharmacy | 527 N Madison St Ste B, Carthage, IL 62321-1034 | 2017-11-14 |
| 1124546031 | Symbria Rx Services, LLC. | Pharmacy | 3200 Grant St Rm 41, Evanston, IL 60201-1903 | 2017-08-31 |
| 1699146720 | Pharmblue Illinois LLC | Pharmacy | 2960 Chartres St Ste 100, La Salle, IL 61301-1097 | 2015-10-15 |
| 1194144691 | Lifemed Illinois, LLC | Pharmacy | 881 Il Route 83, Bensenville, IL 60106-1219 | 2014-04-11 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| Find all providers with the same taxonomy | ||||
| City | BOURBONNAIS |
| Zip Code | 60914 |
Please comment or provide details below to improve the information on PRESENCE LIFE CONNECTIONS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.