SWEDISHAMERICAN HOME HEALTH CARE
NPI 1255439774
Home Health in Rockford, IL

NPI Status: Active since September 20, 2006

Contact Information

2550 CHARLES ST
ROCKFORD, IL
ZIP 61108
Phone: (779) 696-7550
Fax: (815) 391-7501

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  • Organization
  • Home Health
  • Accepts Insurance
  • CLIA Number: 14D0706784
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 08-31-2026

About SWEDISHAMERICAN HOME HEALTH CARE

This page provides the complete NPI Profile along with additional information for Swedishamerican Home Health Care, a provider established in Rockford, Illinois operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1255439774 assigned on September 2006. The practitioner's primary taxonomy code is 251E00000X with license number 1003169 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Swedishamerican Home Health Care. The authorized official of this NPI record is Ms. Ann M Gantzer Phd (Vice President Of Patient Services)

NPI
1255439774
Provider Legal Name
SWEDISHAMERICAN HOSPITAL
Other Organization Name
SWEDISHAMERICAN HOME HEALTH CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2550 CHARLES ST ROCKFORD, IL 61108
Location Phone
(779) 696-7550
Location Fax
(815) 391-7501
Mailing Address
2550 CHARLES ST ROCKFORD, IL 61108
Mailing Phone
(779) 696-7550
Mailing Fax
(815) 391-7501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
02-06-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
License No.
1003169
License State
IL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
  • QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
  • QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ANN M GANTZER PHD

Authorized Official Title
VICE PRESIDENT OF PATIENT SERVICES
Authorized Official Phone
(815) 961-2030

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50309OTHER (01)ILBLUE CROSS BLUE SHIELD
147448MEDICARE OSCAR/CERTIFICATION (06)IL 
=========006MEDICAID (05)IL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0706784
Facility Type
Home Health Agency
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MATTHEW TWOHIG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Swedishamerican Home Health Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255439774
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221058318714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 3 + 1 + 8 + 7 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1255439774 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669568150SWEDISH AMERICAN HOSPITAL
Organization
Durable Medical Equipment & Medical Supplies2550 CHARLES ST
ROCKFORD, IL 61108
(815) 391-7574
1497950471 MARY LYNN DAUSMAN P.T,
Individual
Physical Therapist2550 CHARLES ST
ROCKFORD, IL 61108
(815) 391-7550
1225521925 CAROLYN PRESTON ARANGO OTR/L
Individual
Occupational Therapist2550 CHARLES ST
ROCKFORD, IL 61108
(779) 696-7550
1457844615MR. MAHENDRA KUMAR JAIN
Individual
Physical Therapist2550 CHARLES ST
ROCKFORD, IL 61108
(779) 696-7550
1053804153 JAMES J JEFKO OTR
Individual
Occupational Therapist2550 CHARLES ST
ROCKFORD, IL 61108
(779) 696-7550
1760978910 YAZAN FAHMAWI MD
Individual
Internal Medicine (Pulmonary Disease)2550 CHARLES ST
ROCKFORD, IL 61108
(251) 471-7207
1962451732SWEDISHAMERICAN HOSPITAL
Organization
Family Medicine2550 CHARLES ST
ROCKFORD, IL 61108
(779) 696-7150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255439774, enumerated in the NPI registry as an "organization" on September 20, 2006

The provider is located at 2550 Charles St Rockford, Il 61108 and the phone number is (779) 696-7550

This medical organization specializes in Home Health with taxonomy code 251E00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Quartz,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D0706784 for a "home health agency" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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