IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME (NPI# 1841295763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841295763 |
| Entity Type | Organization |
| Organization Name | IROQUOIS MEMORIAL HOSPITAL AND RESIDENT HOME |
| Other Organization Name | IROQUOIS MEMORIAL HOSPICE |
| Practice Address |
200 Laird Ln Iroquois Regional Health Center Watseka IL 60970-7568 |
| Practice Telephone | 8154320185 |
| Practice Fax Number | 8154326199 |
| Mailing Telephone | 8154320185 |
| Mailing Fax Number | 8154326199 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | MRS. SHELLY SCHOOLMAN (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 8154327917 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 2002400 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDER # | 50344 | 01 |
| Other Name | Type Code |
|---|---|
| Iroquois Memorial Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992894802 | Iroquois Memorial Hospital and Resident Home | Skilled Nursing Facility | 200 E Fairman Avenue, Watseka, IL 60970-1644 | 2006-10-11 |
| 1467470906 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 303 N 7th St, Kentland, IN 47951-1379 | 2006-07-17 |
| 1578580346 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 34 E Jones St, Milford, IL 60953-1046 | 2006-07-16 |
| 1366469132 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 508 E Crescent St, Gilman, IL 60938-1702 | 2006-07-16 |
| 1366447617 | Iroquois Memorial Hospital and Resident Home | Home Health | 200 Laird Ln, Watseka, IL 60970-7568 | 2005-06-14 |
| 1447610472 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 200 Laird Ln, Watseka, IL 60970-7568 | 2016-03-03 |
| 1285718478 | Iroquois Memorial Hospital and Resident Home | Medicare Defined Swing Bed Unit | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-10-24 |
| 1790889194 | Iroquois Memorial Hospital and Resident Home | Family Medicine | 200 Laird Ln, Watseka, IL 60970-7568 | 2006-09-07 |
| 1629003470 | Iroquois Memorial Hospital and Resident Home | Pharmacy | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-07-11 |
| Street Address |
200 LAIRD LN IROQUOIS REGIONAL HEALTH CENTER |
| City | WATSEKA |
| State | IL |
| Zip Code | 60970-7568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447617 | Iroquois Memorial Hospital and Resident Home | Home Health | 200 Laird Ln, Watseka, IL 60970-7568 | 2005-06-14 |
| 1447610472 | Iroquois Memorial Hospital and Resident Home | Clinic/Center | 200 Laird Ln, Watseka, IL 60970-7568 | 2016-03-03 |
| 1851721948 | Janella Schroeder | Nurse Practitioner | 200 Laird Ln, Watseka, IL 60970-7568 | 2013-11-26 |
| 1497097679 | Cristiane White | Speech-Language Pathologist | 200 Laird Ln, Watseka, IL 60970-7568 | 2013-03-26 |
| 1851641138 | Kristy M Huse | Occupational Therapist | 200 Laird Ln, Watseka, IL 60970-7568 | 2012-09-14 |
| 1588914782 | William S. Cooke | Physical Therapist | 200 Laird Ln, Watseka, IL 60970-7568 | 2012-09-14 |
| 1134445851 | Iroquois Memorial Hospital | General Practice | 200 Laird Ln, Watseka, IL 60970-7568 | 2010-04-20 |
| 1376876250 | Optech Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 200 Laird Ln, Watseka, IL 60970-7568 | 2009-09-10 |
| 1114076080 | Angelita Fontanilla | Pediatrics | 200 Laird Ln, Watseka, IL 60970-7568 | 2007-01-09 |
| 1104975978 | Abraham Fontanilla | Surgery | 200 Laird Ln, Watseka, IL 60970-7568 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189167 | Malinda S Mustered | Occupational Therapist | 825 S Belmont Ave, Watseka, IL 60970 | 2019-11-27 |
| 1558889188 | K-shayla Lafayette | Nurse Practitioner | 200 E. Fairman Ave., Watseka, IL 60970 | 2017-09-04 |
| 1144354879 | Pamela H. Beall | Counselor | 1801 N. State Route 1, Suite 2, Watseka, IL 60970 | 2007-03-15 |
| 1528111879 | Spine Clinics of America Sc | Chiropractor | 425 E. Walnut Street, Watseka, IL 60970 | 2007-01-19 |
| 1699833970 | Shakeel Sher Khan Sandozi | Surgery | 625 S Fifth Street, Watseka, IL 60970 | 2006-12-05 |
| 1790859866 | David Charles Nagele | Dentist | 130 N Littelfuse Ln, Suite 101, Watseka, IL 60970 | 2006-11-20 |
| 1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
| 1952324279 | Bonita Jean Rajala | Counselor | 617 East Grant St., Watseka, IL 60970 | 2006-07-26 |
| 1396978177 | Allison Shindelar | Social Worker | 323 Wmulberry St, Watseka, IL 60970-0332 | 2009-08-27 |
| 1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
| Find all providers in zip 60970 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972727 | Moments Hospice of Chicago North LLC | Hospice Care, Community Based | 2860 S River Rd Ste 160, Des Plaines, IL 60018-6006 | 2020-11-05 |
| 1831790906 | Moments Hospice of Chicago South LLC | Hospice Care, Community Based | 545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600 | 2020-11-05 |
| 1982204699 | Lighthouse Hospice Care LLC | Hospice Care, Community Based | 648 N River Rd Ste 100, Naperville, IL 60563-8968 | 2020-10-30 |
| 1740888510 | Family Paramount Hospice LLC | Hospice Care, Community Based | 800 W 5th Ave Ste 203b, Naperville, IL 60563-4931 | 2020-10-14 |
| 1669079141 | Spectrum Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 2604 Dempster St Ste 205, Park Ridge, IL 60068-8426 | 2020-10-07 |
| 1073129045 | Abhishek Gulati | Hospice Care, Community Based | 10723 Dundee Rd, Huntley, IL 60142-9706 | 2020-09-16 |
| 1326653973 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 15255 S 94th Ave Ste 535, Orland Park, IL 60462-3800 | 2020-09-10 |
| 1407467509 | Shiloh Hospice & Palliative Care, LLC | Hospice Care, Community Based | 603 E 170th St, South Holland, IL 60473-3408 | 2020-08-12 |
| 1649892126 | Vital Care Hospice, LLC | Hospice Care, Community Based | 1400 Torrence Ave Ste 205, Calumet City, IL 60409-5550 | 2020-05-07 |
| 1174144463 | Five Star Hospice and Palliative Care LLC | Hospice Care, Community Based | 2500 W Higgins Rd Ste 1277, Hoffman Estates, IL 60169-2051 | 2020-04-28 |
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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.