OrganizationActive
Provena Home Health Inc
NPI 1720037120 · Home Infusion Agency · Boubonnais, IL
Provider details
- NPI number
- 1720037120
- Entity type
- Organization
- Primary specialty
- Home Infusion AgencyAgencies
- Organization subpart
- No
- Authorized official
- Margaret Gleason, President Ceo(815) 806-2364
- License
- 1010262 (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
179 East Bethel Drive
Boubonnais, IL 60914-1456
Phone: (815) 937-2475
Fax: (815) 936-5155
Street-level locationGet directions
Mailing address
9223 West St Francis Road
Frankfort, IL 60423-8334
Other names (DBA / former)
- Doing business as
- Provena Home Infusion Kankakee
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.