INTERIM HEALTHCARE OF DOWNSTATE ILLINOIS
NPI 1174274237
In Home Supportive Care in Peoria, IL

Q: What is Interim Healthcare Of Downstate Illinois's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Active since January 11, 2022CLIA 14D2181193 · Waiver

1223 W PIONEER PKWY, PEORIA, IL 61615(309) 296-0056 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Interim Healthcare Of Downstate Illinois NPPES

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

INTERIM HEALTHCARE OF DOWNSTATE ILLINOIS (NPI 1174274237) is a healthcare organization registered as an in home supportive care in Peoria, Illinois and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Kyle Colgan, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1174274237

Entity TypeOrganization

Primary Taxonomy253Z00000X

Legal Business NameINTERIM HEALTHCARE OF DOWNSTATE ILLINOIS

Location Address1223 W PIONEER PKWYPeoria, IL 61615-1936

Mailing Address1223 W Pioneer PkwyPeoria, IL 61615-1936 · (309) 296-0056

Phone(309) 296-0056

Organization SubpartNo

Authorized OfficialKyle ColganClinical Supervisor · (309) 696-3822

Enumeration DateJanuary 11, 2022

NPPES CertifiedNovember 23, 2021

✔ NPI 1174274237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies

Taxonomy Code253Z00000X

Definition

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

1223 W PIONEER PKWY, Peoria, IL 61615

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CLIA Laboratory Certificates CMS CLIA

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 14D2181193

Interim Health Care Of Downstate Illinois · Peoria, IL

Active · expires Mar 26, 2028

CLIA Number14D2181193

Laboratory TypeHome Health Agency

Certificate Effective DateMarch 27, 2026

Certificate Expiration DateMarch 26, 2028

Laboratory DirectorKyle Colgan

Laboratory Phone(309) 296-0056

Laboratory LocationInterim Health Care Of Downstate Illinois1223 W Pioneer Pkwy, Peoria, IL 61615

CLIA data matches this NPI record on: Address Phone

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interim Healthcare Of Downstate Illinois's NPI number?

The NPI number for Interim Healthcare Of Downstate Illinois is 1174274237. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Interim Healthcare Of Downstate Illinois located?

Interim Healthcare Of Downstate Illinois is located at 1223 W Pioneer Pkwy, Peoria, IL 61615. The listed phone number is (309) 296-0056.

What is Interim Healthcare Of Downstate Illinois's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Interim Healthcare Of Downstate Illinois hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2181193) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Interim Healthcare Of Downstate Illinois was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.