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GRANITE CITY HOME CARE SERVICES, LLC
NPI 1306812425
Home Health in Granite City, IL

Active since February 28, 2006CLIA 14D1094441 · Waiver
2100 MADISON AVE, GRANITE CITY, IL 62040(618) 798-3200 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2025, Jan 7, 2017 (2 updates tracked since 2017).

About Granite City Home Care Services, Llc NPPES

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

GRANITE CITY HOME CARE SERVICES, LLC (NPI 1306812425), doing business as Gateway Regional Home Health, Granite City, is a healthcare organization registered as a home health in Granite City, Illinois and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Joshua L. Proffitt, President, as its authorized official.

NPPES Registry Identity

NPI1306812425
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGRANITE CITY HOME CARE SERVICES, LLC
Location Address2100 MADISON AVEGranite City, IL 62040-4713
Mailing Address9510 Ormsby Station Rd, Ste 300Louisville, KY 40223-4081 · (502) 891-1187 · Fax (502) 891-8067
Phone(618) 798-3200
Organization SubpartNo
Authorized OfficialJoshua L. ProffittPresident · (337) 233-1307
Enumeration DateFebruary 28, 2006
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1306812425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in IL · 1010199
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.
2100 MADISON AVE, Granite City, IL 62040
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Other Names 1

Doing Business AsGateway Regional Home Health, Granite City

Other Identifiers 1

Medicaid364460628004IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 14D1094441

Granite City Home Care Services LLC D/B/A Gateway Regional Home Health And Hospice · Granite City, IL
Active · expires Jan 19, 2027
CLIA Number14D1094441
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorAngela Randla
Laboratory Phone(618) 798-3200
Laboratory LocationGranite City Home Care Services LLC D/B/A Gateway Regional Home Health And Hospice2421 Corporate Center - Ste 101, Granite City, IL 62040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

GRANITE CITY CLINIC CORP
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
DR. JENNIFER ANNE LECHEVALIER PHARMD, RPH
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
MR. WALTER P GRIFFITH P.T.
Physical Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Psychiatric Unit
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
TANYA VIETMEIER PTA
Physical Therapy Assistant
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3133
JANICE M PAUTLER RD,LD
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-5082
MR. SAMUEL W GUITHUES OT
Occupational Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
DALTON ALEXANDER HALM
Nurse Practitioner (Acute Care)
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (619) 798-3000

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 Granite City Home Care Services, LLC's NPI number?

The NPI number for Granite City Home Care Services, LLC is 1306812425. It was assigned to this organization in the NPPES registry on February 28, 2006. The provider is doing business as Gateway Regional Home Health, Granite City.

Where is Granite City Home Care Services, LLC located?

Granite City Home Care Services, LLC is located at 2100 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 798-3200.

What is Granite City Home Care Services, LLC's specialty?

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

Does Granite City Home Care Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1094441) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Granite City Home Care Services, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Granite City Home Care Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Granite City Home Care Services, LLC was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.