Provena Home Health Inc in Boubonnais - Home Infusion
Provena Home Health Inc - NPI 1720037120
Provena Home Health Inc is a Home Infusion in Boubonnais, Illinois. Provena Home Health Inc practices all healthcare services and medical treatments related to Home Infusion. The NPI Number for Provena Home Health Inc is 1720037120. The last update date is 2020-08-22.
Provena Home Health Inc's current location address is 179 East Bethel Drive, Boubonnais, Illinois. You can contact this provider via phone number 8159372475 and fax number 8159365155. The mailing address for Provena Home Health Inc is 179 East Bethel Drive, Boubonnais, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Provena Home Health Inc |
|---|---|
| Address | 179 East Bethel Drive, Boubonnais, Illinois |
| Phone Number | 8159372475 |
| Fax Number | 8159365155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gleason C Margaret |
| Credentials | RN MSN |
| Telephone Number | 8158062364 |
NPI Number Detail
| NPI Number | 1720037120 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 179 East Bethel Drive |
|---|---|
| City | Boubonnais |
| State | Illinois (IL) |
| Post Code | 609141456 |
| Phone Number | 8159372475 |
| Fax Number | 8159365155 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion |
|---|---|
| Taxonomy | 251F00000X |
| Licence No | 1010262 |
|
Definition: Provides fluids, nutrition, medication and related infusion services to patients in their homes. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4623560 | IL | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Provena Home Health Inc by the Centers for Medicare & Medicaid Services?
The Provena Home Health Inc has been issued the NPI (National Provider Identifier) 1720037120, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Provena Home Health Inc is located?
The Provena Home Health Inc is situated at the following address: 179 East Bethel Drive, Boubonnais, IL, 609141456.
What is the Provena Home Health Inc's area of specialization and corresponding taxonomy classification?
The Provena Home Health Inc's specialty field is Home Infusion, and it falls under the taxonomy code 251F00000X, which categorizes healthcare providers based on their specialties.
On what date did Provena Home Health Inc receive its 1720037120 assignment from the Centers for Medicare & Medicaid Services?
The Provena Home Health Inc was assigned its 1720037120 on 2006-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Provena Home Health Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Provena Home Health Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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