NPIMap

Organization Active NPI

Trinity Home Health Services

Doing business as Loyola Medicine Home Care

  • Home Health Agency
  • Oak Brook, IL
National Provider Identifier
1003919101
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TRINITY HOME HEALTH SERVICES
Doing business as
Loyola Medicine Home Care
Practice address
2301 W. 22ND Street
Suite 107
Oak Brook, IL 60523-4104
Phone
(888) 584-7888
Fax
(630) 574-2358
NPI assigned
Sep 6, 2006
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Marcus Bowens
Title
Cfo
Phone
(770) 283-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2301 W. 22ND Street
Suite 107
Oak Brook, IL 60523-4104

Mailing address

PO Box 532020
Livonia, MI 48153-2020
Phone (877) 827-0788

Other identifiers 3

IdentifierTypeStateIssuer
9729OtherILBLUE CROSS HOME INFUSION
0500OtherILBLUE CROSS
1671580OtherILBC FEDERAL HOME HEALTH

Other names 1

  • Loyola Medicine Home Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150731016630 IL Part A Provider - Home Health Agency 1951357672 Practice locations: Oak Brook, IL
O20180612002319 IL Part B Supplier - Clinic/Group Practice 1951357672 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oak Brook, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003919101. Details of each certification follow.

Home health agency certification: CCN 147257

Legal name
TRINITY HOME HEALTH SERVICES
Doing business as
LOYOLA MEDICINE HOME CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 9, 1984
Last certification
Apr 2, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 3, 1985 in MI
Enrollment address
2301 W 22ND St
Ste 107
Oak Brook, IL 60523-4104

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Loyola Medicine Home CareCCN 147257 · All quality measures
Overall star rating
4.5 of 5
Ownership
Non-Profit
Certified
Jan 9, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Amicare Home Hlthcr Ia22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2301 W 22nd St
Ste 107
Oak Brook, IL 60523
Phone (630) 861-5200

Networks

  • IL HMO C-SNP

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Ray Anderson Individual Corporate DirectorBoard Member Jan 1, 2025
Marcus a Bowens Individual Corporate OfficerTreasurer Mar 23, 2022
Corinne Francis Individual Corporate DirectorBoard Member Jan 1, 2025
Benjamin E Petersen Individual Corporate OfficerCoo Nov 21, 2025
Daniel Roth Individual Corporate DirectorBoard Member Jan 1, 2025
Joshua Moore Individual Corporate DirectorBoard Member Jan 1, 2025
Daniel Drake Individual Corporate OfficerPresident & Ceo Aug 1, 2024
Corporate DirectorBoard Member Aug 1, 2024
Robert F Casalou Individual Corporate OfficerBoard Chair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 100%
Penelope Santos Individual W-2 Managing EmployeeAlt Admin/Clinical Manager Aug 5, 2019
Daniel Isacksen Individual Corporate DirectorBoard Member Jan 1, 2025
Allan Roy Tago Individual W-2 Managing EmployeeAd; Oct 4, 2021
Karen Joyce Individual Operational/Managerial ControlVP, Clinical & Virtual Ops Jan 16, 2026
Christine Seppala Individual Corporate OfficerSecretary Jan 1, 2025

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Health at Home - MuskegonMuskegon, MI, CCN 237198 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 1997
Trinity Health at Home - Grand RapidsGrand Rapids, MI, CCN 237217 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1997
Jul 1, 1997
Mercy Home HealthNewtown, PA, CCN 397015 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Trinity Health of New England at HomeHartford, CT, CCN 077005 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Harbor HospiceMuskegon, MI, CCN 231508 Hospice 5% Or Greater Direct Ownership Interest (20%) Jan 29, 2017
Trinity Health at Home - Grand HavenGrand Haven, MI, CCN 231534 Hospice 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2022
Trinity Health of New England at HomeHartford, CT, CCN 071520 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
St. Mary HospiceNewtown, PA, CCN 731519 Hospice 5% Or Greater Indirect Ownership Interest (100%) Oct 24, 2024

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Affiliated clinicians 109

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

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1003919101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532020",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481532020",
            "telephone_number": "877-827-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W. 22ND STREET",
            "address_2": "SUITE 107",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234104",
            "telephone_number": "888-584-7888",
            "fax_number": "630-574-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BOWENS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-283-4006"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOME INFUSION",
            "identifier": "9729",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0500",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FEDERAL HOME HEALTH",
            "identifier": "1671580",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Loyola Medicine Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loyola Medicine Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.