PROCTOR COMMUNITY HOSPITAL (NPI# 1487624318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487624318 |
| Entity Type | Organization |
| Organization Name | PROCTOR COMMUNITY HOSPITAL |
| Other Organization Name | PROCTOR HOME CARE |
| Practice Address |
5409 N Knoxville Ave Peoria IL 61614-5016 |
| Practice Telephone | 3096911000 |
| Mailing Telephone | 3096911000 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | MR. STEPHEN M. CIRONE (REGIONAL MGR REIMB/REV RECOGNITION) |
| Authorized Official Telephone | 3096724813 |
| Is Organization Subpart | Y |
| Parent Organization Name | PROCTOR HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1009695 | IL | Agencies |
| Other Name | Type Code |
|---|---|
| Proctor Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026478 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 104, Peoria, IL 61614-5021 | 2020-02-24 |
| 1518490036 | Proctor Community Hospital | Clinic/Center | 5401 N Knoxville Ave Ste 300, Peoria, IL 61614-5021 | 2017-04-11 |
| 1033116876 | Proctor Community Hospital | General Acute Care Hospital | 5409 N Knoxville Ave, Peoria, IL 61614-5016 | 2005-07-07 |
| 1134475940 | Proctor Community Hospital | Psychiatric Unit | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2012-07-30 |
| 1457679581 | Proctor Community Hospital | Rehabilitation, Substance Use Disorder Unit | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2010-05-13 |
| 1275859902 | Proctor Community Hospital | Substance Abuse Rehabilitation Facility | 1401 Central Ave, Bettendorf, IA 52722-6034 | 2010-04-20 |
| 1821068404 | Proctor Community Hospital | Skilled Nursing Facility | 5409 N Knoxville Ave, Peoria, IL 61614-5016 | 2006-01-25 |
| Street Address |
5409 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116876 | Proctor Community Hospital | General Acute Care Hospital | 5409 N Knoxville Ave, Peoria, IL 61614-5016 | 2005-07-07 |
| 1124637848 | Erin K Hocker | Occupational Therapist | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2020-07-28 |
| 1548804925 | Susan Carrasco | Speech-Language Pathologist | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2019-10-29 |
| 1083270938 | Christine Shaw | Hospitalist | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2019-05-16 |
| 1043779861 | Chelsea Krejci | Nurse Practitioner | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2019-03-19 |
| 1841757077 | Abby Marie Taube | Occupational Therapist | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2019-02-24 |
| 1164905014 | Felicia Williams-triplett | Registered Nurse | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2018-09-06 |
| 1871001644 | Cassie J Stone | Nurse Practitioner | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2018-01-16 |
| 1053854323 | Alicia Layton | Nurse Practitioner | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2016-11-18 |
| 1457706624 | Aimee Parrott | Nurse Practitioner | 5409 N Knoxville Ave, Peoria, IL 61614-5069 | 2016-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| 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 |
|---|---|---|---|---|
| 1174166540 | Albright Oakmont Inc | Home Health | 7501 N University St Ste 137, Peoria, IL 61614-1299 | 2019-10-18 |
| 1336702281 | New Heights Healthcare Services LLC | Home Health | 26237 N 122nd Dr, Peoria, AZ 85383-5935 | 2019-04-16 |
| 1316434483 | Exclusive Home Health Care Pllc | Home Health | 9440 W Peoria Ave Unit B, Peoria, AZ 85345-6316 | 2018-04-15 |
| 1679092522 | Our Family To Yours Home Health Care, LLC. | Home Health | 16165 N 83rd Ave Ste 223, Peoria, AZ 85382-5818 | 2017-09-12 |
| 1538686761 | Billet Home Health Inc - Peoria | Home Health | 6718 W Greenway Rd Ste 208, Peoria, AZ 85381-4582 | 2017-08-28 |
| 1033509096 | Freedom Valley Services LLC | Home Health | 7186 W Desert Mirage Dr, Peoria, AZ 85383-6679 | 2015-01-29 |
| 1912316837 | Century Lake Home Health | Home Health | 6960 W Peoria Ave, #153, Peoria, AZ 85345-6023 | 2014-08-05 |
| 1083039499 | Va Health Care Group Inc | Home Health | 6718 W Greenway Rd, Suite 208, Peoria, AZ 85381-4583 | 2014-02-21 |
| 1679841902 | Vickie R Thompson | Home Health | 30120 N 72nd Ave, Peoria, AZ 85383 | 2011-12-01 |
| 1821329160 | A Caring Solution Home Care | Home Health | 31210 N 132nd Ln, Peoria, AZ 85383-7872 | 2010-01-27 |
| Find all providers in PEORIA | ||||
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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.