Organization Active NPI

Living Spring Home Healthcare Inc

  • Home Health Agency
  • Flossmoor, IL
National Provider Identifier
1003050097
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING SPRING HOME HEALTHCARE INC
Practice address
18952 Harding Ave
Flossmoor, IL 60422-1056
Phone
(708) 663-1716
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maryann EbomNPI 1922601889
Title
President
Phone
(708) 663-1716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18952 Harding Ave
Flossmoor, IL 60422-1056

Mailing address

18952 Harding Ave
Flossmoor, IL 60422-1056
Phone (708) 663-1716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000736 IL Part A Provider - Home Health Agency 0042365918 Practice locations: Lansing, IL

Home health agency certification: CCN 148140

Legal name
LIVING SPRING HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 2010
Last certification
Jul 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 19, 2008 in IL
Enrollment address
18225 Burnham Ave
Ste 2
Lansing, IL 60438-3079

Care Compare: Home health agency

Medicare Care Compare
Listed as
Living Spring Home Health Care, IncCCN 148140
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 11, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

18225 Burnham Ave
Ste 2
Lansing, IL 60438
Phone (708) 960-4767

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Maryann Ebom Individual 5% Or Greater Direct Ownership Interest Jun 27, 2009
Corporate Officer Oct 31, 2008
Operational/Managerial Control Oct 31, 2008
David Ebom Individual 5% Or Greater Direct Ownership Interest Jun 27, 2009
Corporate Officer Oct 31, 2008
Operational/Managerial Control Oct 31, 2008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1003050097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18952 HARDING AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221056",
            "telephone_number": "708-663-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18952 HARDING AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221056",
            "telephone_number": "708-663-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SPRING HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "EBOM",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-663-1716"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.