PRODIGY HOME CARE, INC, (NPI# 1295781862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295781862 |
| Entity Type | Organization |
| Organization Name | PRODIGY HOME CARE, INC, |
| Other Organization Name | ENTERA HEALTHCARE SOUTH |
| Practice Address |
1010 Jorie Blvd Ste 34 Oak Brook IL 60523-2215 |
| Practice Telephone | 7084444027 |
| Practice Fax Number | 7084444713 |
| Mailing Telephone | 7084444027 |
| Mailing Fax Number | 7084444713 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-02-28 |
| Authorized Official Name | ANNA MARIE DIZON-ARROJO (ADMINISTRATOR) |
| Authorized Official Telephone | 7084444027 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 1011859 | IL | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDPH | 1011859 | 01 |
| Other Name | Type Code |
|---|---|
| Entera Healthcare South | Doing Business As Name - Organization |
| Street Address |
1010 JORIE BLVD STE 34 |
| City | OAK BROOK |
| State | IL |
| Zip Code | 60523-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358630 | Jennifer Renee Earnest | Counselor | 2526 Butterfield Road, Suite 138s, Oakbrook, IL 60523 | 2020-02-12 |
| 1881244614 | Meredith Elise Osborne | Pain Medicine | Joint Relief Institute, 600 22nd Street, Oak Brook, IL 60523 | 2019-09-13 |
| 1811450349 | Jessica A Kras | Physical Therapist | 2011 York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1356804876 | Derek M Jones | Physical Therapist | 2011 N. York Rd., Suite 1500, Oak Brook, IL 60523 | 2019-04-11 |
| 1013439975 | Lydia Schatzel | Counselor | 1520 Kensington Rd Ste 212, Oak Brook, IL 60523 | 2017-07-12 |
| 1821537358 | The Anxiety Treatment Center - Western Suburbs, LLC | Counselor | 1100 Jorie Blvd, 227, Oak Brook, IL 60523 | 2017-02-16 |
| 1265989875 | Advance Inpatient Medicine LLC | Hospitalist | 903 Commerce Drive, Suite 333, Oak Brook, IL 60523 | 2016-09-01 |
| 1154877850 | Sandhya Jayaram Shetty | Specialist/Technologist, Other | 1420 Kensington Rd., 201, Oak Brook, IL 60523 | 2016-09-01 |
| 1801349196 | Delsaz Sultan | Dentist | 1301 W 22nd St Ste 1007, Oak Brook, IL 60523 | 2016-08-03 |
| 1851753636 | Pallan Primary Care Ltd S C | Family Medicine | 2425 W 22nd St Ste 211, Oak Brook, IL 60523 | 2016-03-22 |
| Find all providers in zip 60523 | ||||
| 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 |
|---|---|---|---|---|
| 1932465101 | Oakbrook Healthcare Group, Inc | Home Health | 2210 Midwest Rd Ste 204, Oak Brook, IL 60523-8205 | 2012-04-02 |
| 1790007904 | Oak Brook Home Health LLC | Home Health | 260 Wood Glen Ln, Oak Brook, IL 60523-1535 | 2010-02-16 |
| 1053641878 | One Home Health, Ltd. | Home Health | 2021 Midwest Road, Suite 103, Oak Brook, IL 60523 | 2009-12-29 |
| 1548487275 | Apex Home Health Care, Inc. | Home Health | 2607 W 22nd St, Suite #47, Oak Brook, IL 60523-1231 | 2007-04-20 |
| 1003919101 | Trinity Home Health Services | Home Health | 2301 W. 22nd Street, Suite 107, Oak Brook, IL 60523-4104 | 2006-09-06 |
| 1659380095 | Girling Health Care, Inc. | Home Health | 2211 York Rd Ste 215, Oak Brook, IL 60523 | 2006-08-05 |
| 1023047750 | Alc Home Health Care, Inc. | Home Health | 600 Enterprise Dr Ste 208, Oak Brook, IL 60523-1946 | 2006-07-03 |
| 1649258294 | Amedisys Illinois, L.l.c | Home Health | 2215 York Rd Ste 209, Oak Brook, IL 60523 | 2006-01-04 |
| 1659356483 | Independence Plus, Inc. | Home Health | 800 Jorie Blvd Ste 100, Oak Brook, IL 60523-2252 | 2005-12-14 |
| 1417588641 | Dupage Medical Care and Therapy | Home Health | 700 Commerce Dr, Oak Brook, IL 60523-1546 | 2020-01-27 |
| Find all providers in OAK BROOK | ||||
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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.