1649215831 PROVENA CARE AT HOME

Nursing Care Agency

Active

Basic Information

Organization Name
PROVENA CARE AT HOME
Enumeration Date
June 19, 2006
Last Update
May 8, 2013
Authorized Official
MICHEAL GORDON
CHIEF FINANCIAL OFFICER
Phone: (708) 478-7911

Practice Location

Address
1100 ESSINGTON ROAD
JOLIET, IL 604358429
Phone
(815) 773-7868

Mailing Address

Address
9223 WEST ST FRANCIS ROAD
FRANKFORT, IL 60423
Phone
(815) 806-2300
Fax
(815) 806-0409

Specialties & Taxonomies

Specialty Code Classification License State Primary
Nursing Care Agency
251J00000X Nursing Care 1731163 IL Primary

Other Identifiers

Identifier Type State Issuer
09923567 01 IL BLUE SHIELD

Frequently Asked Questions

What is PROVENA CARE AT HOME's NPI number?
PROVENA CARE AT HOME's NPI number is 1649215831.
Which doctor has NPI number 1649215831?
The doctor with NPI number 1649215831 is PROVENA CARE AT HOME.
What is PROVENA CARE AT HOME's practice address?
PROVENA CARE AT HOME's practice address is 1100 ESSINGTON ROAD, JOLIET, IL, 604358429.
Which doctor practices at 1100 ESSINGTON ROAD, JOLIET, IL, 604358429?
PROVENA CARE AT HOME practices at 1100 ESSINGTON ROAD, JOLIET, IL, 604358429.
What is PROVENA CARE AT HOME's mailing address?
PROVENA CARE AT HOME's mailing address is 9223 WEST ST FRANCIS ROAD, FRANKFORT, IL, 60423.
What is PROVENA CARE AT HOME's phone number?
PROVENA CARE AT HOME's phone number is (815) 773-7868.
Who is (815) 773-7868?
(815) 773-7868 is the phone number for PROVENA CARE AT HOME.
What is PROVENA CARE AT HOME's specialty?
PROVENA CARE AT HOME's specialty is Nursing Care Agency.
What type of doctor is PROVENA CARE AT HOME?
PROVENA CARE AT HOME is a Nursing Care Agency.
Is PROVENA CARE AT HOME a Nursing Care?
Yes, PROVENA CARE AT HOME is a Nursing Care.
Is PROVENA CARE AT HOME still practicing?
Yes, PROVENA CARE AT HOME is currently practicing.
Is PROVENA CARE AT HOME accepting new patients?
PROVENA CARE AT HOME may be accepting new patients. Please call their office at (815) 773-7868 to inquire about availability.
Is NPI 1649215831 still active?
Yes, NPI 1649215831 is currently active.
Where does PROVENA CARE AT HOME practice?
PROVENA CARE AT HOME practices in JOLIET, IL.