NPIMap

Organization Active NPI

Silver Cross Hospital & Medical Centers

Doing business as Silver Cross Home Health

  • Home Health Agency
  • New Lenox, IL
National Provider Identifier
1265558852
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1003383 Issued in IL
Legal business name
SILVER CROSS HOSPITAL & MEDICAL CENTERS
Doing business as
Silver Cross Home Health
Practice address
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone
(815) 300-7125
Fax
(815) 300-4954
NPI assigned
Mar 22, 2007
Last updated
Aug 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Authorized official

Name
Stephanie Dewitt-Kotheimer
Title
Clinical Manager
Phone
(815) 300-7125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1003383 IL Primary

Addresses

Primary practice location

1900 Silver Cross Blvd
New Lenox, IL 60451-9509

Mailing address

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-7125

Other names 1

  • SILVER CROSS HOME HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170629000300 IL Part A Provider - Home Health Agency 7719076850 Practice locations: New Lenox, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265558852. Details of each certification follow.

Home health agency certification: CCN 147452

Legal name
SILVER CROSS HOSPITAL & MEDICAL CENTERS
Doing business as
SILVER CROSS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 18, 1986
Last certification
Oct 18, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Nov 25, 1895 in IL
Enrollment address
1900 Silver Cross Blvd
New Lenox, IL 60451-9509

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Silver Cross Home HealthCCN 147452 · All quality measures
Overall star rating
3 of 5
Ownership
Non-Profit
Certified
Sep 18, 1986
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

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Jean Kenol Individual Corporate Director Jun 1, 2015
David J Mikolajczak Individual Corporate DirectorBoard Member Oct 1, 2011
Mark Stofan Individual Corporate Officer Oct 1, 2003
Michael Scudder Individual Corporate Director Oct 1, 2016
John Phelan Individual Corporate DirectorBoard Member Oct 1, 2011
Kay J Novak Individual W-2 Managing Employee Oct 1, 2013
Scott Paddock Individual Corporate Officer Oct 1, 2013
David Livingston Individual Corporate Director Jun 1, 2016
Vincent E Pryor Individual Corporate OfficerExecutive VP and Cfo Sep 11, 2017
Operational/Managerial ControlExecutive VP and Cfo Sep 11, 2017
Douglas Hutchison Individual Corporate DirectorBoard Member Oct 1, 2003
Silver Cross Hospital & Medical Centers Organization, New Lenox, IL Non-profit 5% Or Greater Direct Ownership Interest Sep 18, 1986 100%
Operational/Managerial Control Sep 18, 1986 100%
Matthew Boebel Individual W-2 Managing Employee Aug 15, 2019
Operational/Managerial ControlDirector Aug 15, 2019
Susan Prock Individual Corporate Officer Oct 1, 2010

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Silver Oaks Behavioral HospitalNew Lenox, IL, CCN 144041 Hospital 5% Or Greater Direct Ownership Interest (20%) Oct 18, 2017

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 90

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

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1265558852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-7125",
            "fax_number": "815-300-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-7125",
            "fax_number": "815-300-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CROSS HOSPITAL & MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "DEWITT-KOTHEIMER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "815-300-7125"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1003383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SILVER CROSS HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SILVER CROSS HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.