STATE OF IL DEPT OF HUMAN SERVICES


Address: 1617 W Jefferson St, Joliet, IL 60435-6724
Phone: 8157304231

STATE OF IL DEPT OF HUMAN SERVICES (NPI# 1104361633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104361633
Entity Type Organization
Organization Name STATE OF IL DEPT OF HUMAN SERVICES
Practice Address 1617 W Jefferson St
Joliet
IL 60435-6724
Mailing Address 3334 N 12,000 W Road
Bonfield
IL 60913-7383
Practice Telephone 8157304231
Mailing Telephone 8154266299
Enumeration Date 2016-12-19
Last Update Date 2016-12-19
Authorized Official Name MRS. ELIZABETH RITTENBACHER (LPN)
Authorized Official Telephone 8154266299
Authorized Official Credential LPN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 1744428 IL Agencies

Office Location

Street Address 1617 W JEFFERSON ST
City JOLIET
State IL
Zip Code 60435-6724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619412608 Cindy Lewis Registered Nurse 1617 W Jefferson St, Joliet, IL 60435-6724 2016-12-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851889018 Chime Ajiere Nurse Practitioner 511 Theodore St, Joliet, IL 60435 2018-04-24
1740791284 Melanie Presnak Speech-Language Pathologist 1207 N Larkin Ave, Joliet, IL 60435 2017-10-23
1831618883 Jeriel Marsena Quarles Licensed Practical Nurse 1617 W Jefferson Street, Joliet, IL 60435 2017-09-11
1053769760 Cody Hutchinson Physical Therapy Assistant 2943 W Jefferson St, Joliet, IL 60435 2016-06-03
1659748549 Megan Ryab Massage Therapist 501 Wilcox St, Joliet, IL 60435 2015-08-26
1922416197 Kodo Care, Inc. Pharmacy 221 Springfield Avenue, Suite A, Joliet, IL 60435 2014-07-31
1528489739 My Family Doc LLC Family Medicine 2001-03 Essington Rd, Joliet, IL 60435 2013-12-16
1184973869 R A Lombardi Dds PC Dentist 3011 Theodore St., Joliet, IL 60435 2012-09-10
1245546076 Kelly Rae Lesemann Chiropractor 1011 Essington Road, Joliet, IL 60435 2010-08-31
1932413697 Ann E Todd Optometrist 1521 Essington Road, Everything In Sight, Joliet, IL 60435 2010-08-04
Find all providers in zip 60435

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497188015 R S Independent Home Health Care LLC Home Health 2903 Reardon Dr, Joliet, IL 60435-5292 2013-08-19
1275874141 Shari Valdes Home Health 2000 Glenwood Ave Ste 105, Joliet, IL 60435-5676 2013-03-02
1285886903 United Home Health Care Services, Inc. Home Health 68 N. Chicago Street, Suite 501, Joliet, IL 60432-4127 2008-10-13
1467622910 Cornerstone Home Healthcare LLC Home Health 350 Houbolt Rd., Suite 209, Joliet, IL 60431 2008-03-11
1881645125 Presence Home Care Home Health 1060 Essington Rd, Joliet, IL 60435-2841 2006-05-12
1922092006 Interim Healthcare Services of Joliet, Inc Home Health 310 N Hammes Ave, Ste 301e, Joliet, IL 60435-8118 2005-09-06
1942746250 Jrg 4, Inc. Home Health 3077 W Jefferson St, Suite 218, Joliet, IL 60435-5262 2017-01-10
1194124982 Help At Home, Inc Home Health 701 Essington Rd, Suite 100, Joliet, IL 60435-2832 2014-08-18
1740592336 Peak Home Health Care, LLC Home Health 920 Essington Rd, Joliet, IL 60435-2859 2010-07-12
1780816124 Lisa Michelle Mcintosh-leach Home Health 3320 Executive Dr, Joliet, IL 60431-8433 2009-08-19
Find all providers in JOLIET

Competitor

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City JOLIET
Zip Code 60435

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Dataset Information

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.

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