SSM HEALTH BUSINESSES (NPI# 1093718900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093718900 |
| Entity Type | Organization |
| Organization Name | SSM HEALTH BUSINESSES |
| Other Organization Name | SSM HOSPICE OF ILLINOIS |
| Practice Address |
2 Good Samaritan Way Suite 325 Mount Vernon IL 62864-2408 |
| Mailing Address |
2 Good Samaritan Way Ste 325 Mount Vernon IL 62864-2486 |
| Practice Telephone | 6188991624 |
| Practice Fax Number | 6158994744 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | SUZANNE CECILE SHELDON-KRIEGER (DIRECTOR OF CLINICAL EXCELLENCE) |
| Authorized Official Telephone | 3146825650 |
| Authorized Official Credential | RN JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2002665 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| SSM Health at Home Hospice IL | Doing Business As Name - Organization |
| SSM Hospice of Illinois | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Junction Dr W Ste 4, Glen Carbon, IL 620343060 | 6188991651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205105087 | Ssm Health Businesses | Home Health | 20 Junction Dr W, Unit 4, Glen Carbon, IL 62034-3060 | 2011-12-22 |
| 1285609966 | Ssm Health Businesses | Hospice Care, Community Based | 2 Harbor Bend Ct, Ste 201, Lake Saint Louis, MO 63367-1479 | 2006-02-17 |
| 1669446431 | Ssm Health Businesses | Home Health | 1912 S Main St, Maryville, MO 64468-2647 | 2006-02-16 |
| 1609840552 | Ssm Health Businesses | Home Health | 1187 Corporate Lake Dr, Suite 200, Saint Louis, MO 63132-1718 | 2006-02-16 |
| 1730153511 | Ssm Health Businesses | Home Health | 608 Nw 9th St Ste 6200, Oklahoma City, OK 73102-1017 | 2006-02-16 |
| 1013324854 | Ssm Health Businesses | Hospice Care, Community Based | 605 E Promenade St, Mexico, MO 65265-2926 | 2014-07-14 |
| 1568878411 | Ssm Health Businesses | Home Health | 605 E Promenade St, Mexico, MO 65265-2926 | 2014-07-10 |
| 1295798403 | Ssm Health Businesses | Home Health | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2006-04-10 |
| 1992770671 | Ssm Health Businesses | Hospice Care, Community Based | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2006-02-17 |
| 1992770689 | Ssm Health Businesses | Hospice Care, Community Based | 1912 S Main St, Maryville, MO 64468-2647 | 2006-02-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | SSM HEALTH BUSINESSES | 477 N Lindbergh Blvd, St Louis, MO 63141 |
| Street Address |
2 GOOD SAMARITAN WAY SUITE 325 |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573734 | Scherrie Lynn Medina | Registered Nurse | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2020-06-23 |
| 1245711779 | Mary K Mcgarvey | Occupational Therapy Assistant | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2018-08-23 |
| 1831611334 | Patricia Isabel Calcetto | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2017-07-17 |
| 1821548207 | Nicole Vetter | Nurse Practitioner | 2 Good Samaritan Way, Medical Plaza Suite 420, Mount Vernon, IL 62864-2408 | 2016-10-10 |
| 1740654821 | Kathryn Flanigan | Speech-Language Pathologist | 2 Good Samaritan Way, 3rd Floor, Mount Vernon, IL 62864-2408 | 2015-11-30 |
| 1275900656 | Christopher Bourget | Registered Nurse | 2 Good Samaritan Way, Medical Plaza Suite 205, Mount Vernon, IL 62864-2408 | 2015-09-01 |
| 1992188338 | Carl Robert Davis | Nurse Anesthetist, Certified Registered | 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 | 2015-07-02 |
| 1871919845 | Michell R Ellis | Pharmacist | 2 Good Samaritan Way, Suite 120, Mount Vernon, IL 62864-2408 | 2014-03-13 |
| 1548685647 | Rebecca Breanne Ritchey | Speech-Language Pathologist | 2 Good Samaritan Way, Mount Vernon, IL 62864-2408 | 2014-02-26 |
| 1275954778 | Karla Webb | Nurse Practitioner | 2 Good Samaritan Way, Suite 220, Mount Vernon, IL 62864-2408 | 2013-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174693139 | Skagit Hospice Services, LLC | Hospice Care, Community Based | 227 Freeway Dr, Suite A, Mount Vernon, WA 98273-2805 | 2006-11-08 |
| 1578653267 | Hospice of Knox County | Hospice Care, Community Based | 17700 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2006-10-13 |
| 1922238203 | Peoplefirst Homecare & Hospice of Ohio, LLC | Hospice Care, Community Based | 112 Harcourt Rd, Suite 3, Mount Vernon, OH 43050-3946 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972727 | Moments Hospice of Chicago North LLC | Hospice Care, Community Based | 2860 S River Rd Ste 160, Des Plaines, IL 60018-6006 | 2020-11-05 |
| 1831790906 | Moments Hospice of Chicago South LLC | Hospice Care, Community Based | 545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600 | 2020-11-05 |
| 1982204699 | Lighthouse Hospice Care LLC | Hospice Care, Community Based | 648 N River Rd Ste 100, Naperville, IL 60563-8968 | 2020-10-30 |
| 1740888510 | Family Paramount Hospice LLC | Hospice Care, Community Based | 800 W 5th Ave Ste 203b, Naperville, IL 60563-4931 | 2020-10-14 |
| 1669079141 | Spectrum Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 2604 Dempster St Ste 205, Park Ridge, IL 60068-8426 | 2020-10-07 |
| 1073129045 | Abhishek Gulati | Hospice Care, Community Based | 10723 Dundee Rd, Huntley, IL 60142-9706 | 2020-09-16 |
| 1326653973 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 15255 S 94th Ave Ste 535, Orland Park, IL 60462-3800 | 2020-09-10 |
| 1407467509 | Shiloh Hospice & Palliative Care, LLC | Hospice Care, Community Based | 603 E 170th St, South Holland, IL 60473-3408 | 2020-08-12 |
| 1649892126 | Vital Care Hospice, LLC | Hospice Care, Community Based | 1400 Torrence Ave Ste 205, Calumet City, IL 60409-5550 | 2020-05-07 |
| 1174144463 | Five Star Hospice and Palliative Care LLC | Hospice Care, Community Based | 2500 W Higgins Rd Ste 1277, Hoffman Estates, IL 60169-2051 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.