IRIS HOME HEALTH SERVICES LLC (NPI# 1528327103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528327103 |
| Entity Type | Organization |
| Organization Name | IRIS HOME HEALTH SERVICES LLC |
| Practice Address |
162 E Chestnut St Canton IL 61520-2769 |
| Practice Telephone | 3096496002 |
| Practice Fax Number | 3096496005 |
| Mailing Telephone | 3096496002 |
| Mailing Fax Number | 3096496005 |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | MR. KHALED OWEIMRIN (PRESIDENT) |
| Authorized Official Telephone | 7734900151 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1011557 | IL | Agencies |
| Street Address |
162 E CHESTNUT ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386680791 | Gayon High Performance Chiropractic & Rehab, Inc | Chiropractor | 162 E Chestnut St, Canton, IL 61520-2769 | 2006-06-22 |
| 1902089485 | Ruben Gayon | Chiropractor | 162 E Chestnut St, Canton, IL 61520-2769 | 2007-12-07 |
| 1700933074 | Jennifer J Bates | Counselor | 162 E Chestnut St, Suite C, Canton, IL 61520-2769 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| 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 |
|---|---|---|---|---|
| 1518567320 | Advanced Provider Services | Home Health | 4194 Fulton Dr Nw, Canton, OH 44718-2877 | 2020-10-30 |
| 1669072377 | Integrity Reeves | Home Health | 429 Fenton Ave Ne, Canton, OH 44704-2135 | 2020-10-30 |
| 1609476464 | Teaira Lee Lightner | Home Health | 515 19th St Nw, Canton, OH 44709-3874 | 2020-10-29 |
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1952909947 | Home Health Ohio LLC | Home Health | 1944 Whipple Ave Nw, Canton, OH 44708-2841 | 2020-10-13 |
| 1811595721 | Darnetta Marie Williams | Home Health | 4704 Cranberry Ave Nw, Canton, OH 44709-1315 | 2020-10-13 |
| 1043823701 | Mother Harrell's Haven | Home Health | 1603 25th St Nw, Canton, OH 44709-3421 | 2020-08-24 |
| 1902422017 | Sheila Arrington | Home Health | 4419 Northview Ave Nw, Canton, OH 44709-1330 | 2020-06-24 |
| 1245856608 | William Todd Tyler | Home Health | 250 E Main St Ste 202a, Canton, GA 30114-2781 | 2020-06-22 |
| 1962025742 | Visiting Nurse Homehealth Inc | Home Health | 905 Turnpike St Ste A, Canton, MA 02021-2833 | 2020-05-27 |
| Find all providers in CANTON | ||||
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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.