PROVENA HOME HEALTH INC (NPI# 1043269442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043269442 |
| Entity Type | Organization |
| Organization Name | PROVENA HOME HEALTH INC |
| Other Organization Name | PROVENA HOME INFUSION URBANA |
| Practice Address |
2018 Glenn Park Drive Champaign IL 61821-9961 |
| Mailing Address |
9223 West St Francis Road Frankfort IL 60423-8334 |
| Practice Telephone | 2173554120 |
| Practice Fax Number | 2173554121 |
| Mailing Telephone | 8158062300 |
| Mailing Fax Number | 8158060409 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARGARET C GLEASON (PRESIDENT CEO) |
| Authorized Official Telephone | 8158062364 |
| Authorized Official Credential | RN MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251F00000X | Home Infusion | 1010264 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD | 01023562 | 01 |
| Other Name | Type Code |
|---|---|
| Provena Home Infusion Urbana | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720037120 | Provena Home Health Inc | Home Infusion | 179 East Bethel Drive, Boubonnais, IL 60914-1456 | 2006-05-10 |
| 1811946213 | Provena Home Health Inc | Home Infusion | 222 S Greenleaf Ave Ste 103, Gurnee, IL 60031-5705 | 2006-05-10 |
| 1205885407 | Provena Home Health Inc | Home Infusion | 77 North Airlite, Mob1 Suite 120, Elgin, IL 60123-4912 | 2006-05-08 |
| 1326097528 | Provena Home Health Inc | Home Infusion | 991 Essington Road, Joliet, IL 60435-8429 | 2006-05-08 |
| 1477502672 | Provena Home Health Inc | Home Health | 222 South Greenleaf Ave, Suite 103, Gurnee, IL 60031-5705 | 2006-05-08 |
| Street Address |
2018 GLENN PARK DRIVE |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-9961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282889 | Option Care Enterprises, Inc. | Home Infusion | 1226 N Michael Dr Ste A, Wood Dale, IL 60191-1056 | 2020-10-12 |
| 1174130413 | Healthy Hearts & Wellness | Home Infusion | 14728 Martin Luther King Jr Dr, Dolton, IL 60419-2016 | 2020-09-30 |
| 1326688490 | Vitahealth Services LLC | Home Infusion | 121 N 2nd St Ste G, St Charles, IL 60174-1863 | 2020-01-07 |
| 1245753045 | Adorn Health, Inc. | Home Infusion | 190 S La Salle St Ste 2100, Chicago, IL 60603-3541 | 2017-07-24 |
| 1447791926 | Professional Infusion Consultants Corporation | Home Infusion | 1628 Windward Ave, Naperville, IL 60563-1896 | 2017-03-16 |
| 1114357118 | Athena Home Health, Inc. | Home Infusion | 112 Prancer Dr, Heyworth, IL 61745-9648 | 2013-11-13 |
| 1649616129 | Peko Healthcare and Consulting Services, Inc. | Home Infusion | 526 E 87th St, Chicago, IL 60619-6045 | 2013-05-10 |
| 1649594763 | Community Alliance Home Health | Home Infusion | 1 Merchants Plz, Suite 202, Oswego, IL 60543-9453 | 2010-03-18 |
| 1063653020 | South Suburban Healthcare, Inc | Home Infusion | 17055 Harlem Ave, Tinley Park, IL 60477-2739 | 2009-03-20 |
| 1447491519 | Home Life Healthcare,corp. | Home Infusion | 1020 W Golf Rd, Hoffman Estates, IL 60169-1340 | 2009-03-18 |
| 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.