HENDERSON COUNTY NPI 1821001595

NPI Details

HENDERSON COUNTY is a home health in Gladstone, IL. The provider is 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 organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. HENDERSON COUNTY NPI is 1821001595. The provider is registered as an organization entity type.

The provider's business location address is:

208 WEST ELM STREET
GLADSTONE, IL
ZIP 61437-220
Phone: (309) 627-2812
Fax: (309) 627-2305

The provider's authorized official is Diana Seitz .
The authorized official title is Office Manager and has the following contact phone number (309) 627-2812.

The CLIA number assigned to this NPI record is 14D0646787 - community clinic with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 8/14/2006 and was last updated on 2/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.