GRISWOLD HOME CARE (NPI# 1770086175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770086175 |
| Entity Type | Organization |
| Organization Name | GRISWOLD HOME CARE |
| Practice Address |
707 A Davis Road Suite 203 Elgin IL 60123 |
| Practice Telephone | 8479616550 |
| Practice Fax Number | 8479616560 |
| Mailing Telephone | 8479616550 |
| Mailing Fax Number | 8479616560 |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |
| Authorized Official Name | DEBRA BOROWSKI (DIRECTOR OF HOME CARE SERVICES) |
| Authorized Official Telephone | 8479616550 |
| Is Organization Subpart | Y |
| Parent Organization Name | GRISWOLD INTERNATIONAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 3001474 | IL | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124473228 | Griswold Home Care | Preferred Provider Organization | 120 Springhall Dr Ste F, Goose Creek, SC 29445-5335 | 2016-04-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GRISWOLD HOME CARE | 120 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1420 |
| System for Award Management (SAM) Entities | GRISWOLD HOME CARE COLORADO SPRINGS AND DOUGLAS COUNTY | 14960 Woodcarver Rd Ste 122, Colorado Springs, CO 80921-2370 |
| Oregon Corporations, Companies and Business Names | GRISWOLD HOME CARE REGISTRY | 520 Se Columbia River Dr 316, Vancouver, WA 98661 |
| System for Award Management (SAM) Entities | GRISWOLD HOME CARE SAN ANTONIO NORTHEAST/NORTHWEST | 1314 E Sonterra Blvd Ste 2101, San Antonio, TX 78258-4286 |
| Street Address |
707 A DAVIS ROAD SUITE 203 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| 1346789088 | Jill Marie White | Audiologist | 2050 Larkin Avenue, Suite 102, Elgin, IL 60123 | 2017-02-14 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619265824 | Edmond Chenet Jr. | Adult Companion | 16 Douglas Ave, Elgin, IL 60120-5546 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1154969194 | Nathalia Menicucci | Adult Companion | 3940 N Clark St Apt 407, Chicago, IL 60613-2625 | 2019-12-19 |
| 1396396107 | Ms Care, Inc. | Adult Companion | 228 Florence St, Crystal Lake, IL 60014-5777 | 2019-09-23 |
| 1578121877 | Kelly Hutchison | Adult Companion | 450 E Higgins Rd Ste 102, Elk Grove Village, IL 60007-1417 | 2019-05-31 |
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1265997928 | Shauntay Marie Freeman | Adult Companion | 5424 W Van Buren St, Chicago, IL 60644-4744 | 2019-02-07 |
| 1285112086 | Kimberly Cepak | Adult Companion | 113 Ashland Ave, River Forest, IL 60305-2105 | 2018-08-02 |
| 1326525528 | Lisa Edwards | Adult Companion | 24020 W Riverwalk Ct Ste 122, Plainfield, IL 60544-7126 | 2018-07-20 |
| 1619401445 | Kolawole Peters | Adult Companion | 7454 N Oakley Ave, Chicago, IL 60645-1910 | 2017-04-18 |
| 1093178972 | Desiree A Nimmer | Adult Companion | 11415 S Throop St, Chicago, IL 60643-4439 | 2016-03-30 |
| Find all providers with the same taxonomy | ||||
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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.