Organization Active NPI

Rosie Mae Home Care, LLC

Doing business as Rosie Mae Home Care

  • Homemaker
  • Park Forest, IL
National Provider Identifier
1235524695
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
ROSIE MAE HOME CARE, LLC
Doing business as
Rosie Mae Home Care
Practice address
220 Forest Blvd
Park Forest, IL 60466-2032
Phone
(708) 980-1018
Fax
(866) 630-3186
NPI assigned
Apr 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Ms. Tishieka HollingsworthNPI 1053910505
Title
Owner/Administrator
Phone
(708) 980-1018

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

220 Forest Blvd
Park Forest, IL 60466-2032

Mailing address

220 Forest Blvd
Park Forest, IL 60466-2032
Phone (708) 980-1018

Other names 1

  • Rosie Mae Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

276 Main St
Park Forest, IL 60466

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1235524695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662032",
            "telephone_number": "708-980-1018",
            "fax_number": "866-630-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662032",
            "telephone_number": "708-980-1018",
            "fax_number": "866-630-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSIE MAE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "TISHIEKA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "708-980-1018",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosie Mae Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Park Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.