Active NPI
Oasis House of Refuge LLC
Doing business as House of Goshen
- Community Based Hospice Care Agency
- Flossmoor, IL
National Provider Identifier
1275330128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- OASIS HOUSE OF REFUGE LLC
- Doing business as
- House of Goshen
- Practice address
- 19810 Governors Hwy
Flossmoor, IL 60422-2042 - Phone
- (773) 941-4838
- Fax
- (773) 941-4324
- NPI assigned
- Feb 27, 2025
- Last updated
- Feb 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hakeem A Bello
- Title
- Ceo/Owner
- Phone
- (708) 712-9196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
19810 Governors Hwy
Flossmoor, IL 60422-2042
Mailing address
19810 Governors Hwy
Flossmoor, IL 60422-2042
Phone (773) 941-4838
Other names 1
- HOUSE OF GOSHEN
National Provider Directory
National Provider DirectoryLocations
19810 Governors Hwy
Flossmoor, IL 60422
Phone (773) 941-4838
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Hinsdale, IL
- NPI 1427006774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1275330128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19810 GOVERNORS HWY",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222042",
"telephone_number": "773-941-4838",
"fax_number": "773-941-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19810 GOVERNORS HWY",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222042",
"telephone_number": "773-941-4838",
"fax_number": "773-941-4324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS HOUSE OF REFUGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "BELLO",
"authorized_official_first_name": "HAKEEM",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "708-712-9196",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HOUSE OF GOSHEN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.