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PROVENA CARE AT HOME

Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.

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Contact Information

PROVENA CARE AT HOME
1100 ESSINGTON ROAD
JOLIET, IL  60435-8429
 Phone: 815-773-7868
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nursing Care

 251J00000X
Indicates primary specialty

NPI Profile & details for PROVENA CARE AT HOME

NPI Number 1649215831
LBN Legal business name PROVENA CARE AT HOME
Authorized official MICHEAL GORDON - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 05/08/2013 - About 13 years ago
Identifiers
IL License # 1731163
IL Other 09923567 BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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