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PROVENA CARE AT HOME
NPI 1649215831
Nursing Care in Joliet, IL

Active since June 19, 2006
1100 ESSINGTON ROAD, JOLIET, IL 60435(815) 773-7868 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Provena Care At Home NPPES

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

PROVENA CARE AT HOME (NPI 1649215831) is a healthcare organization registered as a nursing care in Joliet, Illinois and active in the NPI registry since June 2006. The organization lists Micheal Gordon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1649215831
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NamePROVENA CARE AT HOME
Location Address1100 ESSINGTON ROADJoliet, IL 60435-8429
Mailing Address9223 West St Francis RoadFrankfort, IL 60423 · (815) 806-2300 · Fax (815) 806-0409
Phone(815) 773-7868
Organization SubpartNo
Authorized OfficialMicheal GordonChief Financial Officer · (708) 478-7911
Enumeration DateJune 19, 2006
Last NPPES UpdateMay 8, 2013
✔ NPI 1649215831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in IL · 1731163
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
1100 ESSINGTON ROAD, Joliet, IL 60435
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Other Identifiers 1

Other09923567IL · Blue Shield

Other Providers at the Same Location NPPES

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

PROVENA CARE AT HOME
Durable Medical Equipment & Medical Supplies
1100 ESSINGTON ROAD
JOLIET, IL 60435
Will County (815) 773-7868

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 Provena Care At Home's NPI number?

The NPI number for Provena Care At Home is 1649215831. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Provena Care At Home located?

Provena Care At Home is located at 1100 Essington Road, Joliet, IL 60435. The listed phone number is (815) 773-7868.

What is Provena Care At Home's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Provena Care At Home was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.