PROVIDER HEALTHCARE SERVICES, INC (NPI# 1417352105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417352105 |
| Entity Type | Organization |
| Organization Name | PROVIDER HEALTHCARE SERVICES, INC |
| Practice Address |
555 South Schuyler Suite 275 Kankakee IL 60901 |
| Mailing Address |
555 S Schuyler Ave Suite 275 Kankakee IL 60901-5146 |
| Practice Telephone | 7733018464 |
| Practice Fax Number | 7735302643 |
| Mailing Telephone | 7733018464 |
| Mailing Fax Number | 7735302643 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-27 |
| Authorized Official Name | MR. SULAIMON K OLADIPO (PRESIDENT) |
| Authorized Official Telephone | 7733018464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1011663 | IL | Agencies |
| Street Address |
555 SOUTH SCHUYLER SUITE 275 |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| 1124314349 | Gaurang Gujarathi | Internal Medicine | 1710 W Court St, Kankakee, IL 60901 | 2011-06-27 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629458450 | Acclaim Home Health Inc. | Home Health | 207 N Schuyler Ave, Kankakee, IL 60901-3830 | 2015-06-06 |
| 1982098281 | Breakthrogh Healthcare, Inc | Home Health | 555 S Schuyler Ave Ste 265, Kankakee, IL 60901-5102 | 2015-03-25 |
| 1760826358 | Adonia Health System, Corp | Home Health | 1 Dearborn Sq Ste 530, Kankakee, IL 60901-3956 | 2013-04-25 |
| 1518301258 | Favour Health Care Services & Staffing Inc | Home Health | 555 S Schuyler Ave Ste 145, Kankakee, IL 60901-5166 | 2013-04-24 |
| 1982065314 | Ktk Amazing Grace Home Health Care Ltd | Home Health | 1 Dearborn Sq, Suite 444, Kankakee, IL 60901-3942 | 2016-03-13 |
| 1982076329 | Cross Country Home Health LLC | Home Health | 400 N Wall St, Ste 308, Kankakee, IL 60901-2940 | 2015-10-26 |
| 1245621606 | Wellness Valley Home Healthcare Provider LLC | Home Health | 187 S Schuyler Ave, Suite 310, Kankakee, IL 60901-3831 | 2015-02-06 |
| 1639456551 | A 1 Salem Healthcare C Onsultant Inc. | Home Health | 187 S Schuyler Ave, Suite 310, Kankakee, IL 60901-3831 | 2011-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477355 | Bijou Alokpovi | Home Health | 2294 Nichols Rd Apt D, Arlington Heights, IL 60004-1177 | 2020-11-07 |
| 1396346474 | A Smith At Your Service | Home Health | 2504 7th Ave, Rock Island, IL 61201-9027 | 2020-11-04 |
| 1639779564 | A Delightful Homelife Healthcare Services LLC | Home Health | 4027 N Washington St, Westmont, IL 60559-1332 | 2020-10-29 |
| 1730789074 | Greys Medical Services | Home Health | 419 Highland Ave, West Dundee, IL 60118-1224 | 2020-10-27 |
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1881208239 | Solidex Group LLC | Home Health | 3356 W Columbia Ave Apt 2, Lincolnwood, IL 60712-3855 | 2020-09-02 |
| 1134733835 | Bethany North Suburban Group | Home Health | 2601 Chestnut Ave Unit 3310, Glenview, IL 60026-8317 | 2020-09-01 |
| 1528670171 | Jessica Renee Paul | Home Health | 647 W Losey St Ste 3, Galesburg, IL 61401-2594 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.