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PROVENA HOME INFUSION KANKAKEE
NPI 1720037120
Home Infusion in Boubonnais, IL

Active since May 10, 2006
179 EAST BETHEL DRIVE, BOUBONNAIS, IL 60914(815) 937-2475(815) 936-5155 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Provena Home Infusion Kankakee NPPES

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

PROVENA HOME INFUSION KANKAKEE (NPI 1720037120) is a healthcare organization registered as a home infusion in Boubonnais, Illinois and active in the NPI registry since May 2006. The organization lists Margaret C Gleason, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1720037120
Entity TypeOrganization
Primary Taxonomy251F00000X
Legal Business NamePROVENA HOME HEALTH INC
Location Address179 EAST BETHEL DRIVEBoubonnais, IL 60914-1456
Mailing Address9223 West St Francis RoadFrankfort, IL 60423-8334 · (815) 806-2300 · Fax (815) 806-0409
Phone(815) 937-2475
Fax(815) 936-5155
Organization SubpartNo
Authorized OfficialMargaret C GleasonPresident Ceo · (815) 806-2364
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720037120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome InfusionAgencies
Taxonomy Code251F00000X
License✔ Licensed in IL · 1010262
179 EAST BETHEL DRIVE, Boubonnais, IL 60914
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Other Names 1

Doing Business AsProvena Home Infusion Kankakee

Other Identifiers 1

Other04623560IL · Blue Shield

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 Home Health Inc's NPI number?

The NPI number for Provena Home Health Inc is 1720037120. It was assigned to this organization in the NPPES registry on May 10, 2006. The provider is doing business as Provena Home Infusion Kankakee.

Where is Provena Home Health Inc located?

Provena Home Health Inc is located at 179 East Bethel Drive, Boubonnais, IL 60914. The listed phone number is (815) 937-2475.

What is Provena Home Health Inc's specialty?

The primary specialty registered for this NPI is Home Infusion with taxonomy code 251F00000X.

When was this NPI record last updated?

The NPPES record for Provena Home Health Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.