Northshore University Healthsystem

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1008754 Issued in IL

Legal business name

NORTHSHORE UNIVERSITY HEALTHSYSTEM

Doing business as

NorthShore University HealthSystem Home & Hospice Svcs

Practice address

4901 Searle Pkwy
Suite 160
Skokie, IL 60077-5313

Phone

(847) 475-2001

Fax

(847) 328-0867

NPI assigned

May 28, 2006

Reactivated

Dec 6, 2022

Last updated

Dec 6, 2022By 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

Mr. Douglas D Welday

Title

Cfo

Phone

(847) 570-5099

Specialties & licenses 1

Addresses

Other names 1

• NorthShore University HealthSystem Home & Hospice Svcs Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Residential Home Health Illinois, LLC

  dba Residential Home Health

  • Home Health Agency
  • Northbrook, IL
  • NPI 1114673787

  Sold to, 2022-03-01

  CMS change of ownership

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1437106077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011613",
            "telephone_number": "847-570-2000",
            "fax_number": "847-570-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 SEARLE PKWY",
            "address_2": "SUITE 160",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600775313",
            "telephone_number": "847-475-2001",
            "fax_number": "847-328-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE UNIVERSITY HEALTHSYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "deactivation_date": "2022-07-20",
        "reactivation_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "WELDAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-570-5099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1008754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthShore University HealthSystem Home & Hospice Svcs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthShore University HealthSystem Home & Hospice Svcs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Suburban Pharmacy Inc (North Suburban Pharmacy)
• Northern Illinois Health Associates
• Northpark First Surgical, Inc.
• Northshore Metropolitan Dental Associates, Inc
• Northshore University Healthsystem (NorthShore University HealthSystem Home & Hospice Services)
• Northshore University Healthsystem (NorthShore University HealthSystem Home & Hospice Svcs)
• Northshore University Healthsystem Faculty Practice Associates (Knox Pain Center)
• Northshore University Healthsystem Home and Hospice Services
• Northside Ear, Nose and Throat, SC
• Northwest Home Medical Supplies Inc

• Home Health Agency in Skokie, IL
• Providers in Skokie, 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 Dec 6, 2022; 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.

Verify at the official NPI Registry.