NPIMap

Organization Active NPI

JKCD Healthcare Consulting, LLC

Doing business as In-Home Care Connection Home Health Services, LLC

  • Home Health Agency
  • Moline, IL
National Provider Identifier
1184150419
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JKCD HEALTHCARE CONSULTING, LLC
Doing business as
In-Home Care Connection Home Health Services, LLC
Practice address
1715 15TH Street PL
Moline, IL 61265-3962
Phone
(309) 764-7477
Fax
(855) 356-4048
NPI assigned
May 5, 2017
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Kimberly Park
Title
Owner
Phone
(815) 872-7447

Specialties & licenses 1

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

Addresses

Primary practice location

1715 15TH Street PL
Moline, IL 61265-3962

Mailing address

1715 15TH Street PL
Moline, IL 61265-3962
Phone (309) 764-7477

Other names 1

  • In-Home Care Connection Home Health Services, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190411001994 IL Part A Provider - Home Health Agency 1052652419 Practice locations: Moline, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184150419. Details of each certification follow.

Home health agency certification: CCN 148146

Legal name
JKCD HEALTHCARE CONSULTING LLC
Doing business as
IN-HOME CARE CONNECTION HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 31, 2010
Last certification
Aug 28, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 25, 2017 in IL
Enrollment address
1715 15TH Street PL
Moline, IL 61265-3962

Care Compare: Home health agency

Medicare Care Compare
Listed as
In-Home Care Connection Home Health ServicesCCN 148146 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 31, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2166126In-Home Care Connection Home Health Services1715 15TH St Place, Moline, IL 61265Certificate of waiverMay 12, 2027

National Provider Directory

National Provider Directory

Locations

1535 47th Ave
Ste 2
Moline, IL 61265

1715 15th Street Pl
Moline, IL 61265
Phone (309) 764-7477

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Christopher Welch Individual 5% Or Greater Direct Ownership InterestPresident May 1, 2017 25%
Corporate Director May 1, 2017 25%
Joseph E Park Individual 5% Or Greater Direct Ownership InterestTreasurer May 1, 2017 25%
Corporate Director May 1, 2017 25%
Denise Welch Individual 5% Or Greater Direct Ownership InterestSecretary May 1, 2017 25%
Corporate Director May 1, 2017 25%
Conner Allen Welch Individual W-2 Managing EmployeeAd; Apr 1, 2024
Kim Woolley Individual 5% Or Greater Direct Ownership InterestVice President May 1, 2017 25%
Corporate Director May 1, 2017

Change-of-ownership history 1

DateEventCounterparty
Jan 28, 2019 Change of OwnershipThis provider was the buyer Outreach Homehealth Services, Inc.CCN 148146, IL, NPI 1922245224

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1184150419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 15TH STREET PL",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653962",
            "telephone_number": "309-764-7477",
            "fax_number": "855-356-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 15TH STREET PL",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653962",
            "telephone_number": "309-764-7477",
            "fax_number": "855-356-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKCD HEALTHCARE CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-872-7447"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In-Home Care Connection Home Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.