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Provider Healthcare Services, Inc
Home Health Agency in Kankakee, Illinois
NPI 1417352105

Provider Healthcare Services, Inc is a Home Health Agency based in Kankakee, IL. Provider Healthcare Services, Inc practices in Kankakee, IL. The NPI Number for Provider Healthcare Services, Inc is 1417352105 and holds a License No. 1011663 (Illinois).

The current practice location address for Provider Healthcare Services, Inc is 555 South Schuyler, Kankakee, IL and can be reached out via phone at 773-301-8464 and via fax at 773-530-2643.

Location: 555 South Schuyler, Kankakee, IL, 60901-5146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417352105
Provider Name
Provider Healthcare Services, Inc
Credential
Provider Entity Type
Organization
Address
555 South Schuyler, Kankakee, IL, 60901-5146
Phone Number
773-301-8464
Fax Number
773-530-2643
Provider Enumeration Date
10/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 South Schuyler
City
Kankakee
State
Illinois
Zip
60901
Phone Number
773-301-8464
Fax Number
773-530-2643
person
Provider Business Mailing Address Details
Address
555 South Schuyler
City
Kankakee
State
Illinois
Zip
60901
Phone Number
773-301-8464
Fax Number
773-530-2643
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1011663 (Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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