PROVENA SENIOR SERVICES (NPI# 1891780946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891780946 |
Entity Type | Organization |
Organization Name | PROVENA SENIOR SERVICES |
Other Organization Name | PROVENA GENEVA CARE CENTER |
Practice Address |
1101 E State St Provena Geneva Care Center Geneva IL 60134-2438 |
Mailing Address |
19065 Hickory Creek Pl Suite 310 Mokena IL 60448-8507 |
Practice Telephone | 6302327544 |
Practice Fax Number | 6302324409 |
Mailing Telephone | 7084787900 |
Mailing Fax Number | 7084785387 |
Enumeration Date | 2005-09-14 |
Last Update Date | 2010-04-08 |
Authorized Official Name | MRS. DENISE A NICHOLS (DR. PATIENT FINANCIAL SERVICES) |
Authorized Official Telephone | 3155062351 |
Is Organization Subpart | Y |
Parent Organization Name | PROVENA SENIOR SERVICES |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | ========= | IL | Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Provena Geneva Care Center | Doing Business As Name - Organization |
Street Address |
1101 E STATE ST PROVENA GENEVA CARE CENTER |
City | GENEVA |
State | IL |
Zip Code | 60134-2438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609113430 | Catherine B Smith | Occupational Therapy Assistant | 1101 E State St, Geneva, IL 60134-2438 | 2013-01-14 |
1932446689 | Jamie Marie Cullen | Speech-Language Pathologist | 1101 E State St, Geneva, IL 60134-2438 | 2013-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
Find all providers in zip 60134 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104005016 | 840 Sherman Healthcare, Inc. | Skilled Nursing Facility | 840 Sherman St, Geneva, OH 44041-9101 | 2007-10-26 |
1346390317 | Geneva Nursing Home Inc | Skilled Nursing Facility | 196 198 North St, Geneva, NY 14456-1651 | 2007-01-11 |
1245303403 | Geneva Village Retirement Community, Ltd | Skilled Nursing Facility | 1140 S Broadway, Geneva, OH 44041-9143 | 2006-11-16 |
1346358132 | Manor of Geneva, Inc | Skilled Nursing Facility | 501 N 13th St, Geneva, NE 68361-1549 | 2006-08-29 |
1043294390 | Sacred Heart Nursing Center | Skilled Nursing Facility | 60 West St, Geneva, OH 44041-9723 | 2005-11-30 |
1437149150 | Rae-ann Geneva, Inc.. | Skilled Nursing Facility | 839 W Main St, Geneva, OH 44041-1218 | 2005-10-25 |
1538658489 | Fhs Pine Grove, Inc. | Skilled Nursing Facility | 840 Sherman St, Geneva, OH 44041-9101 | 2018-05-07 |
1215467840 | Vsl Geneva LLC | Skilled Nursing Facility | 501 N 13th St, Geneva, NE 68361-1549 | 2017-06-15 |
1548544653 | Geneva Shores, Inc. | Skilled Nursing Facility | 60 West St, Geneva, OH 44041-9723 | 2011-10-07 |
1093865057 | Geneva Nursing Home II Inc. | Skilled Nursing Facility | 196 North St, Geneva, NY 14456-1651 | 2007-01-11 |
Find all providers in GENEVA |
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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.