Organization Active NPI

Community Health Services LLC

  • Home Health Agency
  • Lansing, IL
National Provider Identifier
1316275779
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY HEALTH SERVICES LLC
Practice address
17843 Torrence Ave
Suite 2R
Lansing, IL 60438-1835
Phone
(708) 983-5137
Fax
(708) 394-0241
NPI assigned
Nov 24, 2009
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Mr. Adeolu Adeoye
Title
Member
Phone
(312) 608-4951

Specialties & licenses 1

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

Addresses

Primary practice location

17843 Torrence Ave
Suite 2R
Lansing, IL 60438-1835

Mailing address

17843 Torrence Ave
Suite 2R
Lansing, IL 60438-1835
Phone (708) 983-5137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110526000609 IL Part A Provider - Home Health Agency 9830376953 Practice locations: Lansing, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316275779. Details of each certification follow.

Home health agency certification: CCN 148287

Legal name
COMMUNITY HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 2, 2011
Last certification
Nov 2, 2011
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jul 1, 2009 in IL
Enrollment address
17843 Torrence Ave
Suite 2R
Lansing, IL 60438

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Health Services, LLCCCN 148287 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Nov 2, 2011
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
14D2037393Community Health Services LLC17843 Torrence Ave, Ste 2R, Lansing, IL 60438Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

18525 Torrence Ave
Ste C5
Lansing, IL 60438
Phone (708) 983-5137

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Adelou Adeoye Individual 5% Or Greater Direct Ownership Interest Mar 30, 2011
W-2 Managing Employee Mar 30, 2011
Abisinuola Nwokolo Individual 5% Or Greater Direct Ownership Interest Mar 4, 2014 50%
General Partnership InterestBoard Member Apr 1, 2014 50%
Community Health Services LLC Organization, Lansing, IL For-profit 5% Or Greater Direct Ownership Interest Mar 30, 2011

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": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1316275779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17843 TORRENCE AVE",
            "address_2": "SUITE 2R",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381835",
            "telephone_number": "708-983-5137",
            "fax_number": "708-394-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17843 TORRENCE AVE",
            "address_2": "SUITE 2R",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604381835",
            "telephone_number": "708-983-5137",
            "fax_number": "708-394-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "ADEOLU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "312-608-4951",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.