Provena Home Infusion Kankakee

LBN: Provena Home Health Inc
Provena Home Infusion Kankakee is an health care organization with primary practice located at 179 East Bethel Drive , Boubonnais IL 60914-1456. The organization recently has only one registered license in Agencies / Home Infusion, which is considered as the primary health care specialty. Provena Home Health Inc can be contacted via phone (815) 937-2475, or through Gleason, Margaret C via phone (815) 806-2364.

Contact Information

Primary practice address
179 East Bethel Drive Boubonnais IL 60914-1456
Phone: (815) 937-2475
Fax: (815) 936-5155
Website:
Map and Directions
Authorized official contact:
Name: Gleason, Margaret C RN MSN
Phone: (815) 806-2364

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Infusion 251F00000X 1010262 Illinois

Profile Details

NPI number 1720037120
LBN Legal business name Provena Home Health Inc
DBA Doing business as Provena Home Infusion Kankakee
Authorized official Gleason, Margaret C RN MSN
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 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 1720037120 NPPES
Illinois Other 04623560 BLUE SHIELD

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