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Sparta Community Hospital
Home Health Agency in Sparta, Illinois
NPI 1639187149

Sparta Community Hospital is a Home Health Agency based in Sparta, IL. Sparta Community Hospital practices in Sparta, IL. The NPI Number for Sparta Community Hospital is 1639187149 and holds a License No. 1009653 (Illinois).

The current practice location address for Sparta Community Hospital is 203 S. Vine Street, Sparta, IL and can be reached out via phone at 618-443-2177 and via fax at 618-443-1354.

Location: 203 S. Vine Street, Sparta, IL, 62286-0297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639187149
Provider Name
Sparta Community Hospital
Credential
Provider Entity Type
Organization
Address
203 S. Vine Street, Sparta, IL, 62286-0297
Phone Number
618-443-2177
Fax Number
618-443-1354
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5080 01 IL BCBS PROVIDER NUMBER
========= 05 IL
1009653 01 IL IDPH ID NUMBER
institution
Provider Business Practice Location Address Details
Address
203 S. Vine Street
City
Sparta
State
Illinois
Zip
62286
Phone Number
618-443-2177
Fax Number
618-443-1354
person
Provider Business Mailing Address Details
Address
203 S. Vine Street
City
Sparta
State
Illinois
Zip
62286
Phone Number
618-443-2177
Fax Number
618-443-1354
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1009653 (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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