Forest Home Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011324 Issued in IL

Legal business name

FOREST HOME HEALTHCARE INC

Practice address

318 Forest Blvd
Park Forest, IL 60466-2005

Phone

(708) 283-0769

Fax

(708) 983-6120

NPI assigned

Jul 31, 2010

Last updated

Mar 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wale Folaju

Title

Administrator

Phone

(708) 299-4387

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356655401. Details of each certification follow.

• CCN 148265 Home health agency · Active · Details

Home health agency certification: CCN 148265

Legal name

FOREST HOME HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 24, 2011

Last certification

Sep 19, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 20, 2009 in IL

Enrollment address

318 Forest Blvd
Park Forest, IL 60466-2005

Listed as

Forest Home Healthcare, IncCCN 148265 · All quality measures

Ownership

Proprietary

Certified

Aug 24, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1280534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1356655401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662005",
            "telephone_number": "708-283-0769",
            "fax_number": "708-983-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662005",
            "telephone_number": "708-283-0769",
            "fax_number": "708-983-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-31",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "FOLAJU",
        "authorized_official_first_name": "WALE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-299-4387"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.

Verify at the official NPI Registry.