PRESENCE LIFE CONNECTIONS (NPI# 1922094051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922094051 |
| Entity Type | Organization |
| Organization Name | PRESENCE LIFE CONNECTIONS |
| Other Organization Name | PRESENCE VILLA FRANCISCAN |
| Practice Address |
210 Springfield Ave Joliet IL 60435-6589 |
| Mailing Address |
18927 Hickory Creek Dr Ste 300 Mokena IL 60448-8652 |
| Practice Telephone | 8157253400 |
| Practice Fax Number | 8157252160 |
| Mailing Telephone | 7084787911 |
| Mailing Fax Number | 7084785387 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | MICHAEL GORDON (CFO) |
| Authorized Official Telephone | 7084787911 |
| Is Organization Subpart | Y |
| Parent Organization Name | PRESENCE LIFE CONNECTIONS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | ========= | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Presence Villa Franciscan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953853 | Presence Life Connections | Pharmacy | 670 N Convent St, Bourbonnais, IL 60914-1332 | 2015-10-01 |
| 1396731428 | Presence Life Connections | Skilled Nursing Facility | 611 Allen Ln, St. Charles, IL 60174-1355 | 2005-09-23 |
| 1205822335 | Presence Life Connections | Skilled Nursing Facility | 400 Sullivan Rd, Aurora, IL 60506-1452 | 2005-09-23 |
| 1568458693 | Presence Life Connections | Skilled Nursing Facility | 20 Briarcliff Ln, Bourbonnais, IL 60914-1665 | 2005-09-23 |
| 1114913241 | Presence Life Connections | Skilled Nursing Facility | 4405 Highcrest Rd, Rockford, IL 61107-1452 | 2005-09-23 |
| 1477549509 | Presence Life Connections | Skilled Nursing Facility | 901 N Entrance Ave, Kankakee, IL 60901-2026 | 2005-09-23 |
| 1023004157 | Presence Life Connections | Skilled Nursing Facility | 659 E Jefferson Street, Freeport, IL 61032-6027 | 2005-09-23 |
| 1164417218 | Presence Life Connections | Pharmacy | 670 N. Convent St., Bourbonnais, IL 60914 | 2005-09-14 |
| 1124013255 | Presence Life Connections | Skilled Nursing Facility | 3330 Maria Linden Dr, Rockford, IL 61114-5480 | 2005-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PRESENCE LIFE CONNECTIONS | 18927 Hickory Creek Dr Ste 300, Mokena, IL 60448-8652 |
| Street Address |
210 SPRINGFIELD AVE |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-6589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558994533 | Laarnie Rojas | Physical Therapy Assistant | 210 Springfield Ave, Joliet, IL 60435-6589 | 2020-02-18 |
| 1093271637 | Twyla Call | Physical Medicine & Rehabilitation | 210 Springfield Ave, Joliet, IL 60435-6589 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| 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 |
|---|---|---|---|---|
| 1861940314 | Healthpro Rehab | Skilled Nursing Facility | 3040 Woodside Dr, Joliet, IL 60431-8827 | 2016-09-13 |
| 1609056001 | Fairview Care Center of Joliet, LLC | Skilled Nursing Facility | 222 N Hammes Ave, Joliet, IL 60435-8121 | 2007-11-14 |
| 1922143320 | Hillcrest Health Care Center Inc | Skilled Nursing Facility | 777 Draper Ave, Joliet, IL 60432-1417 | 2007-02-21 |
| 1063505006 | County of Will | Skilled Nursing Facility | 421 Doris Ave, Joliet, IL 60433-2569 | 2006-10-02 |
| 1427034651 | Deerbrook Care Center Lp | Skilled Nursing Facility | 306 N Larkin Ave, Joliet, IL 60435-6698 | 2005-12-20 |
| 1013904739 | Salem Village Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1314 Rowell Ave, Joliet, IL 60433-2866 | 2005-09-29 |
| 1790787679 | Our Lady of Angels Retirement Home | Skilled Nursing Facility | 1201 Wyoming Ave, Joliet, IL 60435-3718 | 2005-08-11 |
| 1962054619 | Laureate Joliet Operations LLC | Skilled Nursing Facility | 2230 Mcdonough St, Joliet, IL 60436-1842 | 2019-07-12 |
| 1841751732 | Parc Joliet Nursing LLC | Skilled Nursing Facility | 222 N Hammes Ave, Joliet, IL 60435-8161 | 2019-03-25 |
| 1487115374 | Spring Creek Snf LLC | Skilled Nursing Facility | 777 Draper Ave, Joliet, IL 60432-1417 | 2019-03-25 |
| Find all providers in JOLIET | ||||
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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.