Organization
GRANITE CITY HOME CARE SERVICES, LLC
Active
Other names
Gateway Regional Home Health, Granite City
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA L. PROFFITT (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2100 MADISON AVE, GRANITE CITY, IL 62040-4713
(618) 798-3200
Mailing address
9510 ORMSBY STATION RD, STE 300, LOUISVILLE, KY 40223-4081
(502) 891-1187
(502) 891-8067
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010199
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364460628004
—
IL
Enumeration date
02/28/2006
Last updated
02/27/2025
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