Organization · Type 2 NPI

Proctor Community Hospital

Home Health Agency · Peoria, IL

NPI number 1487624318 Active

Practice location

5409 N Knoxville Ave
Peoria, IL 61614-5016

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	1009695 (IL)

Home Health Agency: 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 organ…

33 other providers at this address

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NPI record

NPI: 1487624318
Entity type: Organization (Type 2)
Issued: Jan 24, 2006
Last updated: Apr 24, 2019
Status: Active
Subpart: Yes of Proctor Hospital

Other names

<unavail>
Proctor Home Care · doing business as
Proctor Home Care · doing business as

Authorized official

Mr. Stephen M. Cirone
Regional MGR Reimb/rev Recognition
(309) 672-4813

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About NPI 1487624318

Proctor Community Hospital's National Provider Identifier is 1487624318, issued on Jan 24, 2006. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Peoria, IL. The record was last updated on Apr 24, 2019.