Organization
PRESENCE HOME CARE
Active
Parent organization
PROVENA HEALTH
Other names
Presence Home Care - Elgin
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVENA HEALTH
Authorized official
MICHAEL GORDON (CFO)
(708) 478-7911
Entity
Organization
Contact information
Practice address
799 S MCLEAN BLVD, ELGIN, IL 60123-6704
(847) 931-5553
(847) 622-2055
Mailing address
9223 W ST FRANCIS RD, FRANKFORT, IL 60423-8334
(815) 806-2300
(815) 806-0409
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1010260
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50150
BCBS
IL
Enumeration date
05/10/2006
Last updated
04/12/2013
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