HSHS HOLY FAMILY HOSPITAL INC, (NPI# 1174544795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174544795 |
| Entity Type | Organization |
| Organization Name | HSHS HOLY FAMILY HOSPITAL INC, |
| Practice Address |
200 Health Care Dr Greenville IL 62246-1154 |
| Practice Telephone | 6186640808 |
| Practice Fax Number | 6186649750 |
| Mailing Telephone | 6186640808 |
| Mailing Fax Number | 6186649750 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | MARK ENNEN (CONTROLLER) |
| Authorized Official Telephone | 6186903403 |
| Is Organization Subpart | Y |
| Parent Organization Name | HSHS HOLY FAMILY HOSPITAL INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 273R00000X | Psychiatric Unit | 0005355 | IL | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUECROSS BLUESHIELD | 0000000338 | 01 |
| Street Address |
200 HEALTH CARE DR |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245237825 | Ann Hagedorn | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2005-06-28 |
| 1841836533 | Jordan Vandyke | Physical Therapist | 200 Health Care Dr, Greenville, IL 62246-1154 | 2019-11-18 |
| 1588143002 | Jennifer Helmholt | Registered Nurse | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-08-07 |
| 1962904805 | Cep America Illinois Intensivists | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-03-07 |
| 1225537137 | Cepamerica Illinois LLP | Emergency Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-02-06 |
| 1023517935 | Cep America-illinois Hospitalists, LLP | Internal Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2018-02-06 |
| 1013464031 | Christopher Engele | Registered Nurse | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-09-07 |
| 1669929790 | Anna White | Physical Therapist | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-09-07 |
| 1508217605 | Huzefa Chinwala | Emergency Medicine | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-06-29 |
| 1124472196 | Darah Dodt | Nurse Practitioner | 200 Health Care Dr, Greenville, IL 62246-1154 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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| 1861840704 | Wayne Healthcare | Psychiatric Unit | 835 Sweitzer St, Greenville, OH 45331-1007 | 2016-06-01 |
| 1801118237 | Hunt Memorial Hospital District | Psychiatric Unit | 4215 Joe Ramsey Blvd E, Greenville, TX 75401-7852 | 2010-02-26 |
| 1497830806 | Delta Regional Medical Center | Psychiatric Unit | 300 S Washington Ave, Greenville, MS 38701-4719 | 2006-10-25 |
| 1811968308 | The Health Care Authority of The City of Greenville - Lv Stabler Hospi | Psychiatric Unit | 29 L V Stabler Dr, Greenville, AL 36037-3850 | 2006-02-01 |
| 1649252933 | Pitt County Memorial Hospital Inc | Psychiatric Unit | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1740570316 | Robert Young Center | Psychiatric Unit | 4200 6th Ave, Rock Island, IL 61201-2109 | 2011-04-15 |
| 1669704326 | Isaac Ray Center At Cermak | Psychiatric Unit | 3159 N Seminary #301, Chicago, IL 60657 | 2010-02-05 |
| 1316115223 | 394567 D North | Psychiatric Unit | 4200 North Oak Park Ave, Chicago, IL 60634-1417 | 2008-02-13 |
| 1508034414 | 395061 Med Eval | Psychiatric Unit | 4200 North Oak Park Avenue, Chicago, IL 60634-1417 | 2008-02-13 |
| 1952425076 | Elgin Mental Health Center William White 4585 | Psychiatric Unit | 750 S. State St., Elgin, IL 60123-7692 | 2007-03-16 |
| 1932251766 | Families and Adolescents In Recovery, Inc. | Psychiatric Unit | 2010 E Algonquin Rd, Suite # 203-207, Schaumburg, IL 60173-4185 | 2007-01-18 |
| 1003976713 | Presence Central and Suburban Hospitals Network | Psychiatric Unit | 333 N. Madison St., Joliet, IL 60435-6595 | 2006-12-11 |
| 1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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| 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.