Provena Home Health Inc Waukegan

LBN: Provena Home Health Inc
Provena Home Health Inc Waukegan is an health care organization with primary practice located at 222 South Greenleaf Ave Suite 103, Gurnee IL 60031-5705. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Provena Home Health Inc can be contacted via phone (847) 360-7660, or through Gleason, Margaret C via phone (815) 806-2364.

Contact Information

Primary practice address
222 South Greenleaf Ave Suite 103 Gurnee IL 60031-5705
Phone: (847) 360-7660
Fax: (847) 360-8411
Website:
Map and Directions
Authorized official contact:
Name: Gleason, Margaret C RN MSN
Phone: (815) 806-2364

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 1010261 Illinois

Profile Details

NPI number 1477502672
LBN Legal business name Provena Home Health Inc
DBA Doing business as Provena Home Health Inc Waukegan
Authorized official Gleason, Margaret C RN MSN
Entity Organization
Organization subpart 1 Yes
Enumeration date May 8th, 2006
Last updated Sep 16th, 2009 - about 17 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 1477502672 NPPES
Illinois Other 50163 BC BS

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