PREMIUM PRACTITIONERS PLUS INC. (NPI# 1194296533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194296533 |
| Entity Type | Organization |
| Organization Name | PREMIUM PRACTITIONERS PLUS INC. |
| Practice Address |
22660 Cicero Ave Richton Park IL 60471-1700 |
| Mailing Address |
5331 Stanford Ln Matteson IL 60443-1671 |
| Practice Telephone | 7087476120 |
| Mailing Telephone | 7086000965 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | TALIA THOMPSON (FNP) |
| Authorized Official Telephone | 7086000965 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 251J00000X | Nursing Care | Agencies |
| Street Address |
22660 CICERO AVE |
| City | RICHTON PARK |
| State | IL |
| Zip Code | 60471-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671349 | Glenshire Nursing Rehabilitation Center Ltd | Skilled Nursing Facility | 22660 Cicero Ave, Richton Park, IL 60471-1700 | 2005-07-07 |
| 1821561291 | Landmark of Richton Park Rehabilitation and Nursing Center | Skilled Nursing Facility | 22660 Cicero Ave, Richton Park, IL 60471-1700 | 2019-01-08 |
| 1194233106 | Talia Simone Thompson | Nurse Practitioner | 22660 Cicero Ave, Richton Park, IL 60471-1700 | 2018-01-12 |
| 1396144218 | Glenshire Nursing & Rehabilitation Centre | Skilled Nursing Facility | 22660 Cicero Ave, Richton Park, IL 60471-1700 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119501 | Welllife Behavioral Services, LLC | Social Worker | 4137 Sauk Trail, Suite 100, Richton Park, IL 60471 | 2018-10-04 |
| 1891149332 | Wal-mart Stores, Inc. | Technician/Technologist | 22401 Central Avenue, Richton Park, IL 60471 | 2016-04-21 |
| 1689049744 | Lauren Michelle Jackson | Counselor | 1046 Lioncrest Drive, Richton Park, IL 60471 | 2015-12-01 |
| 1326420092 | Denny's Health Care Services Inc | In Home Supportive Care | 4912 Arquilla Drive, Richton Park, IL 60471 | 2015-06-18 |
| 1538312475 | Illinois Behavioral Services Inc | Psychologist | 276 E 16th Street, Chicago Heights, IL 60471 | 2008-10-23 |
| 1588876601 | Getting To Know Me & My World | Home Health | 22006 Jordan Lane, Richton Park, IL 60471 | 2007-05-03 |
| 1982711990 | Camille Yolanda Humes | Counselor | 4511 Sauk Trail, Richton Park, IL 60471 | 2006-08-24 |
| 1003329657 | Elizabeth Eileen Mcelligott | Speech-Language Pathologist | 5000 Sauk Trl, Richton Park, IL 60471-1000 | 2017-11-06 |
| 1629083811 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2006-07-29 |
| 1811267933 | Dwayne Kerry Hall | Pharmacist | 4889 Sauk Trl, Richton Park, IL 60471-1017 | 2012-01-05 |
| Find all providers in zip 60471 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738899 | Chavier Marshall | Nursing Care | 303 S Scottswood Dr, Urbana, IL 61802-4550 | 2020-10-23 |
| 1578160172 | Trinity Care Providers Inc | Nursing Care | 957 N Plum Grove Rd Ste A, Schaumburg, IL 60173-4785 | 2020-10-06 |
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1124638325 | Innovative Homecare Solutions, Inc. | Nursing Care | 3051 Oak Grove Rd Ste 100, Downers Grove, IL 60515-1180 | 2020-08-03 |
| 1699384578 | Life Stays Homecare | Nursing Care | 19 S Arbor Trl, Park Forest, IL 60466-2605 | 2020-07-28 |
| 1134746548 | Superb Nursing LLC | Nursing Care | 30 Coventry Rd, Northfield, IL 60093-3117 | 2020-07-01 |
| 1366063539 | Brooke Ball | Nursing Care | 203 Constitution Dr Sw # B, Poplar Grove, IL 61065-8729 | 2020-04-29 |
| 1811523871 | Noble Plus Healthcare | Nursing Care | 19729 Lake Park Dr, Lynwood, IL 60411-1556 | 2020-03-20 |
| 1326678772 | Kathryn Ann Paone-kopala | Nursing Care | 1430 Kenilworth Ave, Berwyn, IL 60402-1236 | 2020-01-23 |
| 1902443435 | Indus Healthcare Staffing | Nursing Care | 444 N Northwest Hwy Ste 365, Park Ridge, IL 60068-6404 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | RICHTON PARK |
| Zip Code | 60471 |
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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.