INGALLS HOME CARE (NPI# 1598947418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598947418 |
| Entity Type | Organization |
| Organization Name | INGALLS HOME CARE |
| Other Organization Name | ON CALL MEDICAL SOLUTIONS |
| Practice Address |
19730 Governors Hwy Flossmoor IL 60422-2082 |
| Practice Telephone | 7083311220 |
| Practice Fax Number | 7086476641 |
| Mailing Telephone | 7083311220 |
| Mailing Fax Number | 7086476641 |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | MRS. MARYANN KELLEY (DIRECTOR PRIVATE DUTY SERVICES) |
| Authorized Official Telephone | 7083311220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 363367936 | IL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 1636254 | 01 |
| Other Name | Type Code |
|---|---|
| On Call Medical Solutions | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285679241 | Ingalls Home Care | Durable Medical Equipment & Medical Supplies | 1 Ingalls Dr, Wyman Gordon Pavillion, Harvey, IL 60426-3558 | 2006-06-16 |
| 1417998865 | Ingalls Home Care | Home Health | One Ingalls Drive, Wyman Gordon Pavilion, Harvey, IL 60426 | 2006-06-09 |
| Street Address |
19730 GOVERNORS HWY |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-2082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326457169 | Atdental LLC | Dentist | 19730 Governors Hwy, Suite 1, Flossmoor, IL 60422 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831405695 | Favor In The Land | Custodial Care Facility | 150 N Mason Ave, 1suite, Chicago, IL 60644-2801 | 2010-08-30 |
| 1841479797 | Villa Health Care Inc | Custodial Care Facility | 100 Stardust Dr, Sherman, IL 62684-9763 | 2007-10-29 |
| 1831275999 | Eastgate Manor of Algonquin LLC | Custodial Care Facility | 101 Eastgate Court, Algonquin, IL 60102 | 2006-10-31 |
| 1396840153 | Good Samaritan Home of Quincy | Custodial Care Facility | 2130 Harrison St, Quincy, IL 62301-6756 | 2006-09-14 |
| 1780660878 | The Pointe At Kilpatrick | Custodial Care Facility | 14230 Kilpatrick Ave, Crestwood, IL 60445-2399 | 2005-12-20 |
| 1558343301 | St. Marys Health Care Center Investors LLC | Custodial Care Facility | 401 Saint Marys Dr, Edwardsville, IL 62025-4276 | 2005-11-17 |
| 1659368264 | Gaf/lake Cook Terrace | Custodial Care Facility | 263 Skokie Blvd, Northbrook, IL 60062-1611 | 2005-09-29 |
| 1457705774 | J and F Professional In Home Care Services for Seniors | Custodial Care Facility | 328 Sherry Ln, Chicago Heights, IL 60411-1079 | 2016-04-22 |
| 1760804967 | Treaad Incorporated | Custodial Care Facility | 600 Borden St, Woodstock, IL 60098-2137 | 2014-01-08 |
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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.