Active NPI
Senior Care at Home Inc
- Home Health Agency
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011408
- Legal business name
- SENIOR CARE AT HOME INC
- Practice address
- 11300 Distinctive Dr
Orland Park, IL 60467-9459 - Phone
- (708) 687-3333
- Fax
- (708) 687-3330
- NPI assigned
- May 25, 2012
- 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. Abayomi Gabriel Omomo
- Title
- Administrator
- Phone
- (708) 687-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011408 | IL | Primary |
Addresses
Primary practice location
11300 Distinctive Dr
Orland Park, IL 60467-9459
Mailing address
11300 Distinctive Dr
Orland Park, IL 60467-9459
Phone (708) 687-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120727000186 | IL | Part A Provider - Home Health Agency | 3678739125 | Practice locations: Orland Park, IL |
Home health agency certification: CCN 148350
- Legal name
- SENIOR CARE AT HOME INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 8, 2013
- Last certification
- Nov 1, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 1, 2009 in IL
- Enrollment address
- 11300 Distinctive Dr
Orland Park, IL 60467-9459
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Senior Care at Home, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 8, 2013
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
18161 Morris Ave
Ste 203
Homewood, IL 60430
Phone (708) 687-3333
7021 W 153rd St
Ste 3
Orland Park, IL 60462
Phone (708) 687-3333
11952 S Harlem Ave
Ste 200A1
Palos Heights, IL 60463
Phone (708) 671-1111
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Adenike Omomo | 5% Or Greater Direct Ownership Interest | Dec 31, 2019 | 100% |
| Corporate Officer | Dec 31, 2019 | 100% | |
| W-2 Managing Employee | Dec 31, 2019 | 100% | |
| Operational/Managerial Control | Dec 31, 2019 |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Skokie, IL
- NPI 1275553240
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1295095099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 DISTINCTIVE DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604679459",
"telephone_number": "708-687-3333",
"fax_number": "708-687-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 DISTINCTIVE DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604679459",
"telephone_number": "708-687-3333",
"fax_number": "708-687-3330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE AT HOME INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-25",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "OMOMO",
"authorized_official_first_name": "ABAYOMI",
"authorized_official_middle_name": "GABRIEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "708-687-3333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.