Organization Active NPI

Prodigy Home Care, Inc,

Doing business as Entera Healthcare South

  • Home Health Agency
  • Oak Brook, IL
National Provider Identifier
1295781862
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRODIGY HOME CARE, INC,
Doing business as
Entera Healthcare South
Practice address
1010 Jorie Blvd Ste 34
Oak Brook, IL 60523-2215
Phone
(708) 444-4027
Fax
(708) 444-4713
NPI assigned
May 25, 2006
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Anna Marie Dizon-Arrojo
Title
Administrator
Phone
(708) 444-4027

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011859 IL
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1010 Jorie Blvd Ste 34
Oak Brook, IL 60523-2215

Mailing address

1010 Jorie Blvd Ste 34
Oak Brook, IL 60523-2215
Phone (708) 444-4027

Other identifiers 1

IdentifierTypeStateIssuer
1011859OtherILIDPH

Other names 1

  • Entera Healthcare South Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621000414 IL Part A Provider - Home Health Agency 9234114786 Practice locations: Oak Brook, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295781862. Details of each certification follow.

Home health agency certification: CCN 147777

Legal name
PRODIGY HOME CARE, INC.
Doing business as
ENTERA HEALTHCARE SOUTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 2, 2004
Last certification
Jul 26, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 17, 2004 in IL
Enrollment address
1010 Jorie Blvd
Ste 34
Oak Brook, IL 60523-4465

Care Compare: Home health agency

Medicare Care Compare
Listed as
Entera Healthcare SouthCCN 147777 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 2, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1023471Entera Healthcare South1010 Jorie Blvd - Ste 34, Oak Brook, IL 60523Certificate of waiverMar 16, 2028

National Provider Directory

National Provider Directory

Locations

3649 W 183rd St
Hazel Crest, IL 60429
Phone (708) 799-6944

1010 Jorie Blvd
Ste 34
Oak Brook, IL 60523
Phone (708) 444-4027

18400 Maple Creek Dr
Ste 300
Tinley Park, IL 60477
Phone (708) 444-4027

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.

NameRoleSinceShare
Anna Marie D Arrojo Individual 5% Or Greater Direct Ownership Interest Jan 1, 2016 100%
Corporate OfficerPresident, Sec, Treasurer Jan 1, 2016
W-2 Managing Employee Jan 1, 2016

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1295781862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 34",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "708-444-4027",
            "fax_number": "708-444-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JORIE BLVD STE 34",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232215",
            "telephone_number": "708-444-4027",
            "fax_number": "708-444-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY HOME CARE, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "DIZON-ARROJO",
        "authorized_official_first_name": "ANNA MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-444-4027"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011859",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPH",
            "identifier": "1011859",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Entera Healthcare South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.