PROVENA HOME HEALTH INC NPI 1043269442

NPI Information

NPI: 1043269442
Provider Name: PROVENA HOME HEALTH INC

Doing Business As: PROVENA HOME INFUSION URBANA

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
2018 GLENN PARK DRIVE
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 355-4120
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PROVENA HOME HEALTH INC is a home infusion in Champaign, IL. PROVENA HOME HEALTH INC NPI is 1043269442. The provider is registered as an organization entity type.
The provider Is Doing Business As Provena Home Infusion Urbana.

The provider's business location address is:

2018 GLENN PARK DRIVE
CHAMPAIGN, IL
ZIP 61821-961
Phone: (217) 355-4120
Fax: (217) 355-4121

The provider's authorized official is Margaret C Gleason .
The authorized official title is President Ceo and has the following contact phone number (815) 806-2364.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251F00000X	Home Infusion		1010264	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01023562	OTHER	ILLINOIS	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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