OrganizationActive
Provena Care at Home
NPI 1649215831 · Nursing Care Agency · Joliet, IL
Provena Care at Home is a Nursing Care Agency organization in Joliet, IL (NPI 1649215831).
Provider details
- NPI number
- 1649215831
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Micheal Gordon, Chief Financial Officer(708) 478-7911
- License
- 1731163 (IL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1100 Essington Road
Joliet, IL 60435-8429
Phone: (815) 773-7868
Street-level locationGet directions
Mailing address
9223 West St Francis Road
Frankfort, IL 60423
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2013-05-08
Frequently asked questions
- What is Provena Care at Home's NPI number?
- Provena Care at Home's National Provider Identifier (NPI) is 1649215831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provena Care at Home?
- Provena Care at Home is classified in the NPPES registry as Nursing Care Agency (Agencies).
- Where is Provena Care at Home located?
- Provena Care at Home's practice location on file with NPPES is 1100 Essington Road, Joliet, IL 60435-8429.
- What is Provena Care at Home's phone number?
- The practice phone number listed in the NPPES registry for Provena Care at Home is (815) 773-7868.
- Who is the authorized official for Provena Care at Home?
- The authorized official listed on Provena Care at Home's NPPES record is Micheal Gordon, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provena Care at Home's NPI active?
- Yes — Provena Care at Home's NPI (1649215831) is active in the NPPES registry as of the last update on 2013-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.