GREATER PEORIA SPECIALTY HOSPITAL, LLC (NPI# 1770721508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770721508 |
| Entity Type | Organization |
| Organization Name | GREATER PEORIA SPECIALTY HOSPITAL, LLC |
| Other Organization Name | KINDRED HOSPITAL PEORIA |
| Practice Address |
500 W Romeo B Garrett Ave Peoria IL 61605-2301 |
| Practice Telephone | 3096801500 |
| Practice Fax Number | 3096801486 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | MR. TERRANCE K. DILLON (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 0005355 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | JCAHO CERTIFICATION | 484161 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred Hospital Peoria | Doing Business As Name - Organization |
| Street Address |
500 W ROMEO B GARRETT AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61605-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639217748 | Ruth D. Argenta | Dietitian, Registered | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2007-02-01 |
| 1104261668 | Vibra Hospital of Peoria LLC | Long Term Care Hospital | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2013-05-09 |
| 1134489743 | Kindred Healthcare Operating, Inc | Hospitalist | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2012-05-17 |
| 1285922831 | Knd Development 59 LLC | Hospitalist | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386131878 | Nicholas Anthony Helling | Physical Therapist | 518 W Romero B Garret Ave, Poeria, IL 61605 | 2018-04-19 |
| 1891241022 | Peoria Slf Lp | Assisted Living Facility | 518 West Romeo B. Garrett Avenue, Peoria, IL 61605 | 2016-08-28 |
| 1932479664 | Michelle L Whitelow | Nurse Practitioner | 711 W John Gwynn Jr. Avenue, Peoria, IL 61605 | 2012-01-11 |
| 1982852877 | Jason M Anane-sefah | Orthopaedic Surgery | 303 North Kumpf Boulevard, Peoria, IL 61605 | 2008-09-04 |
| 1902098908 | Calvary Elderly Home Help Program | Home Health | 1709 W Lincoln Ave, Peoria, IL 61605 | 2007-08-14 |
| 1023104437 | Thomas Anderson | Optometrist | 710 W Third Avenue, Peoria, IL 61605 | 2006-10-04 |
| 1841382298 | Devashish Agarwal | Family Medicine | 1701 W. Garden Street, Peoria, IL 61605 | 2006-09-29 |
| 1497763197 | Larry T Rolle | Pharmacist | 411 Martin Luther King Dr., Peoria, IL 61605 | 2006-08-04 |
| 1568404762 | Joseph P Kelly Iv | Physical Therapist | 303 N. Kumpf Blvd, Peoria, IL 61605 | 2006-06-12 |
| 1003861634 | Patrick William Elwood | Neurological Surgery | 719 N William Kumpf Blvd, Suite 100, Peoria, IL 61605 | 2006-05-23 |
| Find all providers in zip 61605 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790136133 | Curahealth Phoenix, LLC | Long Term Care Hospital | 13216 N Plaza Del Rio Blvd, Peoria, AZ 85381-4907 | 2016-06-27 |
| 1104261668 | Vibra Hospital of Peoria LLC | Long Term Care Hospital | 500 W Romeo B Garrett Ave, Peoria, IL 61605-2301 | 2013-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720041 | Maryville Academy | Long Term Care Hospital | 4015 N Oak Park Ave Bldg B, Chicago, IL 60634-7197 | 2008-05-21 |
| 1861664013 | Pioneer Gardens Senior Housing Lp | Long Term Care Hospital | 3800 S King Dr, Chicago, IL 60653-1785 | 2008-03-27 |
| 1780769257 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178 | 2006-10-25 |
| 1578648028 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641 | 2006-10-25 |
| 1023192572 | Lynda Kerstin De La Cotera | Long Term Care Hospital | 211 Franklin Ave, River Forest, IL 60305-2115 | 2006-10-24 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1952304826 | Rml Health Providers Limited Partnership | Long Term Care Hospital | 5601 South County Line Road, Hinsdale, IL 60521 | 2005-05-24 |
| 1508472804 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164-2628 | 2020-09-22 |
| 1821604125 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 2544 W Montrose Ave, Chicago, IL 60618-1537 | 2020-09-22 |
| 1700492014 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641-4799 | 2020-09-22 |
| 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.