MEDICARE: PRESENCE HOME CARE

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
1	251E00000X	Home Health Agency	1010263	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50160	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1881645125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESENCE HOME CARE

Provider Business Mailing Address
First Line	:	50 UNO CIR, STE EAST
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8159
Country	:	US
Telephone Number	:	815-741-7371
Fax Number	:	815-741-7372

Provider Business Practice Location Address
First Line	:	50 UNO CIR, STE EAST
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8159
Country	:	US
Telephone Number	:	815-741-7371
Fax Number	:	815-741-7372

Authorized Official
Title or Position	:	SENIOR DIRECTOR
Name	:	MARY JO MACKNISKAS
Credential	:
Telephone Number	:	773-213-0776

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	02/17/2025

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Directions to “PRESENCE HOME CARE ” Practice Location

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