ATHENA HOME HEALTH, INC. (NPI# 1114357118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114357118 |
| Entity Type | Organization |
| Organization Name | ATHENA HOME HEALTH, INC. |
| Practice Address |
112 Prancer Dr Heyworth IL 61745-9648 |
| Practice Telephone | 3098262761 |
| Mailing Telephone | 3098262761 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | MR. ROBERT ALAN PEEL JR. (PRESIDENT) |
| Authorized Official Telephone | 3098262761 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251F00000X | Home Infusion | 041378159 | IL | Agencies |
| N | 251G00000X | Hospice Care, Community Based | 041378159 | IL | Agencies |
| N | 251J00000X | Nursing Care | 041378159 | IL | Agencies |
| Y | 251E00000X | Home Health | 041378159 | IL | Agencies |
| Street Address |
112 PRANCER DR |
| City | HEYWORTH |
| State | IL |
| Zip Code | 61745-9648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1245226653 | Russell John Maas | Chiropractor | 117 B East Main St, Heyworth, IL 61745 | 2005-09-21 |
| 1619019072 | Heyworth Ambulance Service | Ambulance | 707 S Vine St, Heyworth, IL 61745-0258 | 2007-02-13 |
| 1861669475 | Maas Chiropractic Center Incorporated | Chiropractor | 117 E Main St, Heyworth, IL 61745-7647 | 2008-05-13 |
| 1255947263 | Sheniqua Woodson | Nurse's Aide | 308 Wigwam # 4c, Heyworth, IL 61745-8932 | 2020-09-16 |
| 1003328741 | Molly Lynn Post | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-11-03 |
| 1063928430 | Mary Theresa Vandiver | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-12-21 |
| 1982013090 | Kimberly Weber | Physical Therapist | 400 Trotter Dr, Heyworth, IL 61745-9212 | 2014-08-04 |
| 1730235102 | Community Unit School Dist 4 | Local Education Agency (LEA) | 522 E Main St, Heyworth, IL 61745-9694 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255947263 | Sheniqua Woodson | Nurse's Aide | 308 Wigwam # 4c, Heyworth, IL 61745-8932 | 2020-09-16 |
| 1366924888 | Randolph Township Fire Protection District | Ambulance | 707 S. Vine St, Heyworth, IL 61745 | 2018-08-31 |
| 1003328741 | Molly Lynn Post | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-11-03 |
| 1982013090 | Kimberly Weber | Physical Therapist | 400 Trotter Dr, Heyworth, IL 61745-9212 | 2014-08-04 |
| 1619019072 | Heyworth Ambulance Service | Ambulance | 707 S Vine St, Heyworth, IL 61745-0258 | 2007-02-13 |
| 1245226653 | Russell John Maas | Chiropractor | 117 B East Main St, Heyworth, IL 61745 | 2005-09-21 |
| 1063928430 | Mary Theresa Vandiver | Speech-Language Pathologist | 100 S Joselyn St, Heyworth, IL 61745-9191 | 2017-12-21 |
| 1861669475 | Maas Chiropractic Center Incorporated | Chiropractor | 117 E Main St, Heyworth, IL 61745-7647 | 2008-05-13 |
| 1730235102 | Community Unit School Dist 4 | Local Education Agency (LEA) | 522 E Main St, Heyworth, IL 61745-9694 | 2007-01-26 |
| 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 |
|---|---|---|---|---|
| 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 |
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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.