ST JOSEPH MEDICAL CENTER (NPI# 1851330203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851330203 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MEDICAL CENTER |
| Other Organization Name | OSF HOME HEALTH-EASTERN REGION |
| Practice Address |
211 Landmark Dr Suite D3 Normal IL 61761-2160 |
| Mailing Address |
800 Ne Glen Oak Ave Peoria IL 61603-3200 |
| Practice Telephone | 3094515925 |
| Mailing Telephone | 3096552850 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | DIANE L MCGREW (PRESIDENT) |
| Authorized Official Telephone | 3096552850 |
| Is Organization Subpart | Y |
| Parent Organization Name | OSF HEALTHCARE SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 006 | 05 |
| Other Name | Type Code |
|---|---|
| OSF Home Health-Eastern Region | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547414 | St Joseph Medical Center | Internal Medicine | 302 Saint Joseph Dr, Bloomington, IL 61701-3506 | 2006-05-19 |
| 1679012710 | St Joseph Medical Center | General Acute Care Hospital | 8441 State Highway 47, Suite 4300, Bryan, TX 77807-3207 | 2017-02-22 |
| 1336465004 | St Joseph Medical Center | General Acute Care Hospital | 1717 S J St, Tacoma, WA 98405-4933 | 2010-04-20 |
| 1174758346 | St Joseph Medical Center | Radiology | 407 E Vernon Ave, Normal, IL 61761-3813 | 2009-05-18 |
| 1902066400 | St Joseph Medical Center | Preventive Medicine | 1505 Eastland Dr, Suite 1000, Bloomington, IL 61701-3534 | 2008-06-10 |
| 1659552859 | St Joseph Medical Center | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2007-11-16 |
| 1881782878 | St Joseph Medical Center | Internal Medicine | 1505 Eastland Dr, Suite 110, Bloomington, IL 61701-3534 | 2006-10-11 |
| 1184732851 | St Joseph Medical Center | General Acute Care Hospital | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-08-25 |
| 1932148236 | St Joseph Medical Center | Skilled Nursing Facility | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-06-05 |
| 1619916806 | St Joseph Medical Center | General Acute Care Hospital | 2200 E Washington St, Bloomington, IL 61701-4364 | 2006-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST JOSEPH MEDICAL CENTER | 1717 S J St, Tacoma, WA 98405-4933 |
| Street Address |
211 LANDMARK DR SUITE D3 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013259217 | Bonnie Crosier | Community Health Worker | 211 Landmark Dr, Suite E-1, Normal, IL 61761-2160 | 2013-03-26 |
| 1952652224 | Susan Smith | Physical Therapist | 211 Landmark Dr, Suite E3, Normal, IL 61761-2160 | 2012-09-27 |
| 1326251869 | Barnes Dental Associates | Dentist | 211 Landmark Dr, Suite E-3, Normal, IL 61761-2160 | 2007-05-08 |
| 1578605317 | Amy Louise Brooke | Counselor | 211 Landmark Dr, Suite A-5, Normal, IL 61761-2160 | 2007-02-12 |
| 1700930096 | Bradley William Barnes | Dentist | 211 Landmark Dr, Suite E-3, Normal, IL 61761-2160 | 2007-01-23 |
| 1891894622 | Janine Maere | Family Medicine | 211 Landmark Dr, Suite E1, Normal, IL 61761-2160 | 2006-09-21 |
| 1134238264 | Christina M. Burchett | Psychologist | 211 Landmark Dr, Suite B4e, Normal, IL 61761-2160 | 2006-08-30 |
| 1013945583 | St. Joseph Medical Center | Hospice Care, Community Based | 211 Landmark Dr, Suite D3, Normal, IL 61761-2160 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| 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 |
|---|---|---|---|---|
| 1053459057 | The Lawson Group, LLC. | Home Health | 303 Landmark Dr, Suite 5b, Normal, IL 61761-2153 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477355 | Bijou Alokpovi | Home Health | 2294 Nichols Rd Apt D, Arlington Heights, IL 60004-1177 | 2020-11-07 |
| 1396346474 | A Smith At Your Service | Home Health | 2504 7th Ave, Rock Island, IL 61201-9027 | 2020-11-04 |
| 1639779564 | A Delightful Homelife Healthcare Services LLC | Home Health | 4027 N Washington St, Westmont, IL 60559-1332 | 2020-10-29 |
| 1730789074 | Greys Medical Services | Home Health | 419 Highland Ave, West Dundee, IL 60118-1224 | 2020-10-27 |
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1881208239 | Solidex Group LLC | Home Health | 3356 W Columbia Ave Apt 2, Lincolnwood, IL 60712-3855 | 2020-09-02 |
| 1134733835 | Bethany North Suburban Group | Home Health | 2601 Chestnut Ave Unit 3310, Glenview, IL 60026-8317 | 2020-09-01 |
| 1528670171 | Jessica Renee Paul | Home Health | 647 W Losey St Ste 3, Galesburg, IL 61401-2594 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ST JOSEPH MEDICAL CENTER.
| 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.