Provena Home Medical Equipment

LBN: Provena Care At Home
Provena Home Medical Equipment is an health care organization with primary practice located at 1100 Essington Road , Joliet IL 60435-8429. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Provena Care At Home can be contacted via phone (815) 773-7868, or through Gleason, Margaret C via phone (815) 806-2364.

Contact Information

Primary practice address
1100 Essington Road Joliet IL 60435-8429
Phone: (815) 773-7868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gleason, Margaret C RN MSN
Phone: (815) 806-2364

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 11580037 Illinois

Profile Details

NPI number 1386689610
LBN Legal business name Provena Care At Home
DBA Doing business as Provena Home Medical Equipment
Authorized official Gleason, Margaret C RN MSN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386689610 NPPES
Illinois Other 9923629 BLUESHIELD

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