PROVENA HOSPICE - WAUKEGAN, IL

United States hospital / nursing home:
PROVENA HOSPICE - WAUKEGAN, IL

PROVENA HOSPICE
2615 WASHINGTON ST
WAUKEGAN, IL 60085

SHORT TERM HOSPICES

Services provided by PROVENA HOSPICE:

Physicians (The number of full-time equivalent physicians employed by a provider): 0.50

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 1

Change of ownership date (Effective date of a change of ownership): Nov 1997

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 19.40

Related provider number (This field is used when a provider's facility contains more than one distinct provider,such as a hospital with distinct part long term care. the number in this field will be the provider nmbr of the highest level of care): 140033

Srv: occupational therapy (Indicates how occupational therapy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: physical therapy (Indicates how physical therapy services are provided): PROVIDED BY STAFF

Srv: speech pathology (Indicates how speech pathology services are provided): PROVIDED UNDER ARRANGEMENT

Type of facility (Indicates the category which represents the type of facility): SHORT - TERM

Medical social workers (Number of full-time equivalent medical social workers employed by a hospital or hospice): 0.60

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 12.31

Srv: medical social (Indicates how medical social services are provided): PROVIDED BY STAFF

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Total # of employees (The total number of full-time employees in a hospice or an intermediate care facility/mental retardation facility): 3381

Srv: physician (Indicates how physician services are provided): PROVIDED BY EMPLOYEES

Acute/respite care indicator (Indicates if the hospice provides acute and/or respite short term inpatient care): ST INPATIENT ACUTE & RESPITE CARE PROV IN HSP

Counselors - Staff (The number of full-time equivalent counselors employed by a hospice): 1

Physicians - Volunteer (The number of full-time equivalent volunteer physicians in a hospice): 0.50

Registered nurses - Volunteer (The number of full-time equivalent volunteer registered nurses in a hospice): 0.20

Srv: counseling (Indicates how counseling services are provided by a hospice): PROVIDED BY STAFF

Srv: home health aide (Indicates how home health aide services are provided by a hospice): PROVIDED BY STAFF

Srv: homemaker (Indicates how homemaker services are provided by a hospice): PROVIDED UNDER ARRANGEMENT

Srv: medical supplies (Indicates how medical supplies services are provided by a hospice): PROVIDED BY STAFF

Srv: short term inpatient care (Indicates how short term inpatient care services are provided by a hospice): PROVIDED BY STAFF

Volunteers - Other (The number of full-time equivalent other volunteers in a hospice): 43

Volunteers - Total (The number of full-time volunteers in a hospice): 4370

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): May 1993

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Apr 1991