PRESENCE LIFE CONNECTIONS (NPI# 1124013255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124013255 |
| Entity Type | Organization |
| Organization Name | PRESENCE LIFE CONNECTIONS |
| Other Organization Name | PRESENCE COR MARIAE CENTER |
| Practice Address |
3330 Maria Linden Dr Rockford IL 61114-5480 |
| Mailing Address |
18927 Hickory Creek Dr Ste 300 Mokena IL 60448-8652 |
| Practice Telephone | 8158777416 |
| Practice Fax Number | 8158774299 |
| Mailing Telephone | 7084787900 |
| Mailing Fax Number | 7084785387 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | MICHAEL GORDON (CFO) |
| Authorized Official Telephone | 7084787911 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESENCE LIFE CONNECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | ========= | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Presence Cor Mariae Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953853 | Presence Life Connections | Pharmacy | 670 N Convent St, Bourbonnais, IL 60914-1332 | 2015-10-01 |
| 1396731428 | Presence Life Connections | Skilled Nursing Facility | 611 Allen Ln, St. Charles, IL 60174-1355 | 2005-09-23 |
| 1205822335 | Presence Life Connections | Skilled Nursing Facility | 400 Sullivan Rd, Aurora, IL 60506-1452 | 2005-09-23 |
| 1568458693 | Presence Life Connections | Skilled Nursing Facility | 20 Briarcliff Ln, Bourbonnais, IL 60914-1665 | 2005-09-23 |
| 1114913241 | Presence Life Connections | Skilled Nursing Facility | 4405 Highcrest Rd, Rockford, IL 61107-1452 | 2005-09-23 |
| 1477549509 | Presence Life Connections | Skilled Nursing Facility | 901 N Entrance Ave, Kankakee, IL 60901-2026 | 2005-09-23 |
| 1922094051 | Presence Life Connections | Skilled Nursing Facility | 210 Springfield Ave, Joliet, IL 60435-6589 | 2005-09-23 |
| 1023004157 | Presence Life Connections | Skilled Nursing Facility | 659 E Jefferson Street, Freeport, IL 61032-6027 | 2005-09-23 |
| 1164417218 | Presence Life Connections | Pharmacy | 670 N. Convent St., Bourbonnais, IL 60914 | 2005-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESENCE LIFE CONNECTIONS | 18927 Hickory Creek Dr Ste 300, Mokena, IL 60448-8652 |
| Street Address |
3330 MARIA LINDEN DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-5480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912029760 | Willows Health Center | Skilled Nursing Facility | 4054 Albright Ln, Rockford, IL 61103-1576 | 2007-04-04 |
| 1811015951 | Healthcare Management Counsultants, Inc | Skilled Nursing Facility | 201 Buckeye St, Rockford, OH 45882-9266 | 2007-03-27 |
| 1902930688 | Springwood Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1920 N Main St, Rockford, IL 61103-4708 | 2007-03-15 |
| 1619983467 | Amberwood Care Centre LLC | Skilled Nursing Facility | 2313 N Rockton Ave, Rockford, IL 61103-3618 | 2006-08-01 |
| 1821079591 | Asta Care Center of Rockford LLC | Skilled Nursing Facility | 707 W Riverside Blvd, Rockford, IL 61103-2125 | 2005-11-09 |
| 1427048826 | Lutheran Social Services of Illinois | Skilled Nursing Facility | 1311 Parkview Ave, Rockford, IL 61107-1899 | 2005-10-26 |
| 1114913241 | Presence Life Connections | Skilled Nursing Facility | 4405 Highcrest Rd, Rockford, IL 61107-1452 | 2005-09-23 |
| 1619963816 | Alden-alma Nelson Manor, Inc. | Skilled Nursing Facility | 550 S Mulford Rd, Rockford, IL 61108-2511 | 2005-09-22 |
| 1316931082 | County of Winnebago | Skilled Nursing Facility | 404 Elm St, Rockford, IL 61101-1239 | 2005-09-08 |
| 1851396238 | Fairview Nursing Plaza, Inc. | Skilled Nursing Facility | 321 Arnold Ave, Rockford, IL 61108-2315 | 2005-06-14 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on PRESENCE LIFE CONNECTIONS.
| 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.