Inspired Homecare of Illinois, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INSPIRED HOMECARE OF ILLINOIS, LLC

Practice address

2100 Manchester Road
Suite 1640, Building C
Wheaton, IL 60187

Phone

(630) 963-7824

Fax

(630) 964-8318

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By 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

Ronald E Hogan

Title

Manager

Phone

(318) 366-8936

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 1407521008. Details of each certification follow.

• CCN 147664 Home health agency · Active · Details

Home health agency certification: CCN 147664

Legal name

INSPIRED HOMECARE OF ILLINOIS, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 14, 1997

Last certification

Jun 12, 2015

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jun 3, 2021 in DE

Enrollment address

2100 Manchester Rd
Ste 1640
Wheaton, IL 60187-4564

Listed as

Inspired Homecare of Illinois, LLCCCN 147664 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Mar 14, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 7

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

Facilities with the same owner 1

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

• St. Johns Hospice LLC

  dba Canyon Home Care & Hospice

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1982266300

  RHSH, LLC

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Life Care Home Health Services LLC

  • Home Health Agency
  • Naperville, IL
  • NPI 1235345240

  Acquired from, 2021-09-01

  CMS change of ownership

Affiliated clinicians 6

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

• Alexandria Adler, MD

  • Family Medicine Physician
  • Burr Ridge, IL
  • NPI 1568925410

  Home health agency

  Care Compare affiliation
• Philip Branshaw, MD

  • Internal Medicine Physician
  • Batavia, IL
  • NPI 1730123134

  Home health agency

  Care Compare affiliation
• Alla Jusufi, MD

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1609496850

  Home health agency

  Care Compare affiliation
• Hina Nawab, M.D.

  • Family Medicine Physician
  • Dekalb, IL
  • NPI 1568698918

  Home health agency

  Care Compare affiliation
• Saqib Nisar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • McHenry, IL
  • NPI 1811492358

  Home health agency

  Care Compare affiliation
• Enas Kanama, MD

  • Adolescent Medicine (Family Medicine) Physician
  • Bowling Green, OH
  • NPI 1659366714

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1407521008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER ROAD",
            "address_2": "SUITE 1640, BUILDING C",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-963-7824",
            "fax_number": "630-964-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER ROAD",
            "address_2": "SUITE 1640, BUILDING C",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-963-7824",
            "fax_number": "630-964-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 W. NW Highway",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "60067",
            "country_code": "US",
            "telephone_number": "847-737-9251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INSPIRED HOMECARE OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "318-366-8936"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inclusive Assistance Corp (Home Helpers and Direct Link)
• Payton Ingemunson, M.S.
• Hilda Ceraa Ingram
• Joanna Inserra
• Jennifer Jo Inserro, LCSW
• Instep Podiatry, P.C.
• Instep Podiatry, P.C.
• Integrated Health and Wellness,PLLC
• Integrative Medical Care PC
• Cynthia Irizarry, CADC

• Home Health Agency in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.