Organization Active NPI

Oasis House of Refuge LLC

Doing business as House of Goshen

  • Community Based Hospice Care Agency
  • Flossmoor, IL
National Provider Identifier
1275330128
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.