NPIMap

Organization Active NPI

Ucm Home Care

Doing business as Ingalls Home Hospice

  • Community Based Hospice Care Agency
  • Harvey, IL
National Provider Identifier
1326083395
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2001030 Issued in IL
Legal business name
UCM HOME CARE
Doing business as
Ingalls Home Hospice
Practice address
One Ingalls Drive
Wyman Gordon Pavilion
Harvey, IL 60426
Phone
(708) 331-0226
Fax
(708) 915-2749
NPI assigned
Jun 16, 2006
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Sandra Feliksik
Title
Assistant Director
Phone
(708) 331-0226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2001030 IL Primary

Addresses

Primary practice location

One Ingalls Drive
Wyman Gordon Pavilion
Harvey, IL 60426

Mailing address

One Ingalls Drive
Wyman Gordon Pavilion
Harvey, IL 60426
Phone (708) 331-0226

Other identifiers 1

IdentifierTypeStateIssuer
9530OtherILBCBS PROVDIDER #

Other names 1

  • Ingalls Home Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150806012789 IL Part A Provider - Hospice 2466507637 Practice locations: Harvey, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326083395. Details of each certification follow.

Hospice certification: CCN 141535

Legal name
UCM HOME CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 15, 1990
Last certification
Jan 27, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
May 28, 1985 in IL
Enrollment address
1 Ingalls Dr
Harvey, IL 60426-3558

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Ucm Home CareCCN 141535 · All quality measures
Ownership
Non-Profit
Certified
Jun 15, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Ingalls Home Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Michael Antoniades Individual Corporate OfficerPresident/Ceo Jan 1, 2024
Lauren McCorkle Individual W-2 Managing EmployeeOperations/Systems Quality Analyst Jan 1, 2024
Tom Samek Individual Corporate DirectorMember on the Board of Directors Sep 19, 2022
Lynnette Schwartzhoff Individual Corporate OfficerMedical Administrator Jan 1, 2024
Kelley Macdonald Individual Corporate OfficerExecutive Director Jan 1, 2024
Bertrina C McLaurin Individual W-2 Managing Employee Jan 1, 2024
The University of Chicago Medical Center Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2016 100%
University of Chicago Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2016 100%
Lakshmi Warrior Individual Corporate Director Jan 17, 2025
Uchicago Medicine Network, Inc. Organization, Harvey, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jan 17, 2025 100%

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 22

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 22

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.

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": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1326083395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE INGALLS DRIVE",
            "address_2": "WYMAN GORDON PAVILION",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-331-0226",
            "fax_number": "708-915-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE INGALLS DRIVE",
            "address_2": "WYMAN GORDON PAVILION",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-331-0226",
            "fax_number": "708-915-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCM HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "FELIKSIK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "708-331-0226"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "2001030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVDIDER #",
            "identifier": "9530",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingalls Home Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvey, IL

Sources for this page

Verify at the official NPI Registry.