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Provena Home Health Inc
Home Health Agency in Gurnee, Illinois
NPI 1477502672

Provena Home Health Inc is a Home Health Agency based in Frankfort, IL. Provena Home Health Inc practices in Gurnee, IL. The NPI Number for Provena Home Health Inc is 1477502672 and holds a License No. 1010261 (Illinois).

The current practice location address for Provena Home Health Inc is 222 South Greenleaf Ave, Gurnee, IL and can be reached out via phone at 847-360-7660 and via fax at 847-360-8411.

Location: 222 South Greenleaf Ave, Gurnee, IL, 60423-8334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477502672
Provider Name
Provena Home Health Inc
Credential
Provider Entity Type
Organization
Address
222 South Greenleaf Ave, Gurnee, IL, 60423-8334
Phone Number
847-360-7660
Fax Number
847-360-8411
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50163 01 IL BC BS
institution
Provider Business Practice Location Address Details
Address
222 South Greenleaf Ave
City
Gurnee
State
Illinois
Zip
60031-5705
Phone Number
847-360-7660
Fax Number
847-360-8411
person
Provider Business Mailing Address Details
Address
222 South Greenleaf Ave
City
Gurnee
State
Illinois
Zip
60031-5705
Phone Number
847-360-7660
Fax Number
847-360-8411
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1010261 (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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