Active NPI
Innovative Senior Care Home Health of Chicago, LLC
- Rehabilitation Clinic/Center
- Oak Park, IL
National Provider Identifier
1417622705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- INNOVATIVE SENIOR CARE HOME HEALTH OF CHICAGO, LLC
- Practice address
- 1111 Ontario St
Oak Park, IL 60302-1939 - Phone
- (708) 934-7149
- Fax
- (708) 934-7148
- NPI assigned
- Aug 10, 2021
- Organization subpart
- Yes
- Parent organization
- INNOVATIVE SENIOR CARE HOME HEALTH OF CHICAGO, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua L. Proffitt
- Title
- President
- Phone
- (337) 233-1307
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
1111 Ontario St
Oak Park, IL 60302-1939
Mailing address
PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307
Other names 1
- Apex Health and Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210811002634 | IL | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 3870623754 | Practice locations: Oak Park, IL; Hoffman Estates, IL; Des Plaines, IL; Glen Ellyn, IL |
Outpatient physical therapy / speech pathology certification: CCN 146685
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- APEX HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Jul 15, 2003
- Last certification
- Jul 29, 2021
- Ownership / control type
- State Government
- Most recent change of ownership
- Jun 22, 2021
- Facility address
- 1111 Ontario Street
Oak Park, IL 60302
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Rehabilitation Clinic/Center
- Vernon Hills, IL
- NPI 1326713611
3870623754
-
- Home Health Agency
- Naperville, IL
- NPI 1851591010
3870623754
National Provider Directory
National Provider Directory- Tax ID family
- Innovative Senior Care Home Health of Chicago LLC
- Part of
- Innovative Senior Care Home Health of Chicago LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rehabilitation Clinic/Center
- Vernon Hills, IL
- NPI 1326713611
-
- Home Health Agency
- Naperville, IL
- NPI 1851591010
Ownership & related parties
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.
-
- Home Health Agency
- Naperville, IL
- NPI 1851591010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Naperville, IL
- NPI 1477293066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1417622705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51266",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705051266",
"telephone_number": "337-233-1307",
"fax_number": "337-443-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 ONTARIO ST",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021939",
"telephone_number": "708-934-7149",
"fax_number": "708-934-7148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF CHICAGO, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INNOVATIVE SENIOR CARE HOME HEALTH OF CHICAGO, LLC",
"enumeration_date": "2021-08-10",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "PROFFITT",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "337-233-1307"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Apex Health and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.