Rosie Mae Home Care, LLC-Supportive Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ROSIE MAE HOME CARE, LLC-SUPPORTIVE LIVING

Practice address

220 Forest Blvd
Park Forest, IL 60466-2032

Phone

(708) 980-1018

Fax

(866) 630-3186

NPI assigned

Sep 25, 2025

Organization subpart

Yes

Parent organization

ROSIE MAE HOME CARE, LLCAs reported in NPPES

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

Authorized official

Name

Tishieka HollingsworthNPI 1053910505

Title

Owner/Administration

Phone

(708) 980-1020

Specialties & licenses 1

Addresses

Part of

Rosie Mae Home Care LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Rosie Mae Home Care, LLC

  • Homemaker
  • Park Forest, IL
  • NPI 1235524695
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tishieka Hollingsworth

  • Homemaker
  • Park Forest, IL
  • NPI 1053910505
  NPD Authorized official

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1386517456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662032",
            "telephone_number": "708-980-1018",
            "fax_number": "866-630-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662032",
            "telephone_number": "708-980-1018",
            "fax_number": "866-630-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSIE MAE HOME CARE, LLC-SUPPORTIVE LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSIE MAE HOME CARE, LLC",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "TISHIEKA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATION",
        "authorized_official_telephone_number": "708-980-1020"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Oaks and Park Forest Opco LLC
• Carina Robinson
• Carolanda Tiffany Rollins, COTA
• J'Vohnne M. Rosario
• Rosie Mae Home Care, LLC
• Daijza Ruffin
• Safe Care Home Care
• Lena Safi
• Serenity Healthcare Consultants, Limited
• Serenity Healthcare Professionals LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.