PROVIDER HEALTHCARE SERVICES, INC
NPI 1417352105
Home Health in Kankakee, IL

Q: What is Provider Healthcare Services, Inc's NPI number?

The NPI number for Provider Healthcare Services, Inc is 1417352105. It was assigned to this organization in the NPPES registry on October 24, 2014.

Q: What is Provider Healthcare Services, Inc's specialty?

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

Active since October 24, 2014

555 SOUTH SCHUYLER, SUITE 275, KANKAKEE, IL 60901(773) 301-8464(773) 530-2643 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Provider Healthcare Services, Inc NPPES

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

PROVIDER HEALTHCARE SERVICES, INC (NPI 1417352105) is a healthcare organization registered as a home health in Kankakee, Illinois and active in the NPI registry since October 2014. The organization lists Sulaimon K Oladipo, President, as its authorized official.

NPPES Registry Identity

NPI1417352105

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NamePROVIDER HEALTHCARE SERVICES, INC

Location Address555 SOUTH SCHUYLER, SUITE 275Kankakee, IL 60901

Mailing Address555 S Schuyler Ave, Suite 275Kankakee, IL 60901-5146 · (773) 301-8464 · Fax (773) 530-2643

Phone(773) 301-8464

Fax(773) 530-2643

Organization SubpartNo

Authorized OfficialSulaimon K OladipoPresident · (773) 301-8464

Enumeration DateOctober 24, 2014

Last NPPES UpdateOctober 27, 2014

✔ NPI 1417352105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in IL · 1011663

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.

555 SOUTH SCHUYLER, Kankakee, IL 60901

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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 Provider Healthcare Services, Inc's NPI number?

The NPI number for Provider Healthcare Services, Inc is 1417352105. It was assigned to this organization in the NPPES registry on October 24, 2014.

Where is Provider Healthcare Services, Inc located?

Provider Healthcare Services, Inc is located at 555 South Schuyler Suite 275, Kankakee, IL 60901. The listed phone number is (773) 301-8464.

What is Provider Healthcare Services, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Provider Healthcare Services, Inc was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.