INGALLS HOME CARE (NPI# 1417998865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417998865 |
| Entity Type | Organization |
| Organization Name | INGALLS HOME CARE |
| Practice Address |
One Ingalls Drive Wyman Gordon Pavilion Harvey IL 60426 |
| Practice Telephone | 7083310226 |
| Practice Fax Number | 7089152749 |
| Mailing Telephone | 7083310226 |
| Mailing Fax Number | 7089152749 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-06-03 |
| Authorized Official Name | MR. DAVID LITHGOW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7083310226 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1001338 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS PROVIDER NUMBE | 9712 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598947418 | Ingalls Home Care | Custodial Care Facility | 19730 Governors Hwy, Flossmoor, IL 60422-2082 | 2007-12-03 |
| 1285679241 | Ingalls Home Care | Durable Medical Equipment & Medical Supplies | 1 Ingalls Dr, Wyman Gordon Pavillion, Harvey, IL 60426-3558 | 2006-06-16 |
| Street Address |
ONE INGALLS DRIVE WYMAN GORDON PAVILION |
| City | HARVEY |
| State | IL |
| Zip Code | 60426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568434579 | Andrew D Bruggeman | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| 1649799404 | Carmalita Lewis-buchanan | Nurse Practitioner | One Ingalls Drive, Harvey, IL 60426-3558 | 2017-09-13 |
| 1265784193 | Ingalls Memorial Hospital | General Acute Care Hospital | One Ingalls Drive, Harvey, IL 60426 | 2012-10-02 |
| 1043307580 | Ingalls Memorial Hospital | Psychiatric Unit | One Ingalls Drive, Harvey, IL 60426-3558 | 2006-10-06 |
| 1598775108 | Suresh P Agarwal | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-08-08 |
| 1982628475 | Bryan K Lee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One Ingalls Drive, West 536, Harvey, IL 60426 | 2006-07-27 |
| 1326083395 | Ingalls Home Hospice | Hospice Care, Community Based | One Ingalls Drive, Wyman Gordon Pavilion, Harvey, IL 60426 | 2006-06-16 |
| 1033184031 | Joseph B Costa | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-22 |
| 1982676987 | John C Heller | Anesthesiology | One Ingalls Drive, Ingalls Memorial Hospital, Harvey, IL 60426 | 2006-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| 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 |
|---|---|---|---|---|
| 1528526654 | Phlebotomy Express Services, LLC | Home Health | 1833 Esther St, Harvey, LA 70058-3509 | 2019-03-07 |
| 1619403623 | Leonora Mcclelland-sandridge | Home Health | 14504 Green St, Harvey, IL 60426-1828 | 2017-05-11 |
| 1942667514 | Faithful Care Proviers, LLC | Home Health | 1612 Shadow Lake Ct, Harvey, LA 70058-6606 | 2016-01-27 |
| 1801224084 | Divinity Home Health Services, LLC | Home Health | 2701 Manhattan Blvd, #18, Harvey, LA 70058-6148 | 2013-10-24 |
| 1750601670 | Ebony Nicole Harry | Home Health | 3849 Clover Ln, Harvey, LA 70058-1616 | 2010-06-02 |
| 1891011789 | Watson Health System Inc | Home Health | 2732 Destrehan Ave, C, Harvey, LA 70058-6443 | 2010-04-16 |
| 1972740645 | Louisiana Home Health of Houma, LLC | Home Health | 2439 Manhattan Blvd, Suite 400, Harvey, LA 70058-5328 | 2009-01-16 |
| 1073544961 | Louisiana Homecare of Greater New Orleans | Home Health | 2055 Paxton St, Unit B, Harvey, LA 70058-5911 | 2006-07-06 |
| 1457305971 | Southern Quality Home Health Care | Home Health | 2701 Manhatttan Blvd., Suite #18, Harvey, LA 70058 | 2006-05-20 |
| 1104889252 | Jordan and Assoc Home Health | Home Health | 14618 Lincoln Ave, Harvey, IL 60426-1610 | 2006-04-10 |
| Find all providers in HARVEY | ||||
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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.