PROVIDENCE AT HOME, INC.
NPI 1003815275
Home Health in Saint John, IN

Q: What is Rest Haven Illiana Christian Convalescent Home's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Q: What quality rating does Rest Haven Illiana Christian Convalescent Home have?

CMS rates Providence At Home Inc 3 out of 5 stars for quality of patient care on Care Compare. The full measure detail is in the Home Health Quality Ratings section above.

Active since July 19, 2005CLIA Certified · 4 labs

3/5

Patient Care Rating

10700 PARK PL, SAINT JOHN, IN 46373(800) 509-2800(219) 365-3524 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Providence At Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE AT HOME, INC. (NPI 1003815275) is a healthcare organization registered as a home health in Saint John, Indiana and active in the NPI registry since July 2005. The organization holds 4 active CLIA laboratory certificates and lists Johanna Zandstra, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1003815275

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameREST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME

Location Address10700 PARK PLSaint John, IN 46373-8666

Mailing Address18601 N Creek DrTinley Park, IL 60477-6397 · (708) 342-8100 · Fax (708) 342-8006

Phone(800) 509-2800

Fax(219) 365-3524

Organization SubpartNo

Authorized OfficialJohanna ZandstraVice President Of Operations · (708) 342-8100

Enumeration DateJuly 19, 2005

Last NPPES UpdateJanuary 24, 2024

NPPES CertifiedJanuary 24, 2024

✔ NPI 1003815275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in IN · 003435

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.

10700 PARK PL, Saint John, IN 46373

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Other Names 1

Doing Business AsProvidence At Home, Inc.

Other Identifiers 2

Medicaid200451170AIN

Other50070IN · Bc/bs Preferred Provider

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0884774

Providence At Home (d/B/A) Rest Haven Illiana Christian Convalescent Home Inc · Homer Glen, IL

Active · expires Apr 10, 2028

CLIA Number14D0884774

Laboratory TypeHome Health Agency

Certificate Effective DateApril 11, 2026

Certificate Expiration DateApril 10, 2028

Laboratory DirectorRosann Prosser

Laboratory Phone(800) 509-2800

Laboratory LocationProvidence At Home (d/B/A) Rest Haven Illiana Christian Convalescent Home Inc14301 Independence Way, Homer Glen, IL 60491

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D1004266

Providence At Home Inc · St John, IN

Active · expires Sep 22, 2026

CLIA Number15D1004266

Laboratory TypeHome Health Agency

Certificate Effective DateSeptember 23, 2024

Certificate Expiration DateSeptember 22, 2026

Laboratory DirectorRosann Prosser

Laboratory Phone(800) 509-2800

Laboratory LocationProvidence At Home Inc10700 Park Place, St John, IN 46373

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0987662

Providence Hospice · Homer Glen, IL

Active · expires Jun 10, 2027

CLIA Number14D0987662

Laboratory TypeHome Health Agency

Certificate Effective DateJune 11, 2025

Certificate Expiration DateJune 10, 2027

Laboratory DirectorAmy Mosoriak

Laboratory Phone(800) 509-2800

Laboratory LocationProvidence Hospice14301 Independence, Homer Glen, IL 60491

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2120856

Providence Hospice, Inc · St John, IN

Active · expires Oct 25, 2026

CLIA Number15D2120856

Laboratory TypeHospice

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorAmy Mosoriak

Laboratory Phone(800) 509-2800

Laboratory LocationProvidence Hospice, Inc10700 Park Place, St John, IN 46373

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Providence At Home Inc (CMS certification number 157550), from CMS Care Compare.

Providence At Home Inc

Home health agency · Saint John, IN

3/5 Quality of Patient Care

OwnershipNonProfit

CMS Certification Number157550

Medicare-Certified SinceSeptember 10, 2003

Phone(800) 509-2800

Services Offered

Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Patient Care Measures

Patients whose home health care began in a timely manner

100%

Patients who got better at walking or moving around

85%

Patients who got better at getting in and out of bed

87.4%

Patients who got better at bathing

82.1%

Patients whose breathing improved

82.8%

Patients who got better at taking their drugs correctly by mouth

76.6%

Patients checked for a flu shot for the current season

80.6%

Physician-recommended actions on medication issues completed on time

99%

Patients with a functional assessment and care plan at admission and discharge

100%

Patients experiencing one or more falls with major injury

Lower rates are better for this measure.

1.6%

New or worsened pressure ulcers or injuries (skin integrity)

Lower rates are better for this measure.

0.5%

Measure rates are from the CMS Care Compare home health data. Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care

499 of 655 patient episodes · observed rate 76.18%

82.02% Better Than National Rate

Potentially preventable hospital readmissions after discharge

363 patient stays · observed rate 3.86%

Lower rates are better for this measure.

3.74% Same As National Rate

Medicare spending per episode of care, relative to the national average

1.00 = national average per episode of care · based on 834 episodes

0.99

Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBYN KUIPER

Speech-Language Pathologist