DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: GRANITE CITY HOME CARE SERVICES, LLC

MEDICARE: GRANITE CITY HOME CARE SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency1010199IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306812425
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANITE CITY HOME CARE SERVICES, LLC
Provider Business Mailing Address
First Line : 9510 ORMSBY STATION RD
Second Line : STE 300
City : LOUISVILLE
State : KY
Zip : 40223-4081
Country : US
Telephone Number : 502-891-1187
Fax Number : 502-891-8067
Provider Business Practice Location Address
First Line : 2100 MADISON AVE
Second Line :
City : GRANITE CITY
State : IL
Zip : 62040-4713
Country : US
Telephone Number : 618-798-3200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JOSHUA L. PROFFITT
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 02/28/2006
Last Update Date : 02/27/2025

Similar Medicare Providers

1518119536 — KAREN E SEIN OHN MD
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3000
Practice Fax:
1013284223 — DR. JENNIFER ANNE LECHEVALIER PHARMD, RPH
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3000
Practice Fax:
1245787472 — HANNAH ZIEGLER PA-C
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3260
Practice Fax:
1831630458 — MELISSA LEE BOUNDS NP
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3066
Practice Fax:
1952831893 — MR. KENDALL BRENNAN KNOBELOCH RN
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-798-3000
Practice Fax:
1467977561 — ANNA GILBRETH
Practice Location Address:
2100 MADISON AVE
GRANITE CITY, IL
62040-4713
Practice Phone: 618-833-1691
Practice Fax:

Directions to “GRANITE CITY HOME CARE SERVICES, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.