Am PM Home Healthcare Services LLC
Organization Active NPI Home Health Agency · Evergreen Park, IL
NPI 1437865359 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1437865359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AM PM HOME HEALTHCARE SERVICES LLC
- Practice address
- 9340 S Albany Ave
Evergreen Park, IL 60805-2420 - Phone
- (708) 699-4476
- NPI assigned
- Jan 24, 2023
- Organization subpart
- No
Authorized official
- Name
- Abimbola David Oyelowo
- Title
- Owner/President
- Phone
- (708) 699-4476
Owners & managing parties with NPI records 1
Practitioners 1
Affiliated clinicians 7
-
Kevin Chen, NP-C
-
Syed H Rahman, M.D.
-
Ednesha Ramey, NP
-
Mikhail Shulman, FNP-C
-
Robert John Wolf, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Am PM Home Healthcare Services LLC
- Ownership
- -
- Certified
- Sep 5, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2291886 | Am PM Home Healthcare Services LLC | Certificate of waiver | Oct 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Home health agency certification: CCN 148418
- Legal name
- AM PM HOME HEALTHCARE SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 5, 2024
- Last certification
- Aug 28, 2024
- Organization structure
- LLC · Proprietary
- Incorporated
- Jan 2, 2023 in IL
- Enrollment address
- 9340 S Albany Ave
Evergreen Park, IL 60805-2420
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Abimbola Oyelowo |
5% Or Greater Direct Ownership Interest | Jan 2, 2023 | 100% |
| Corporate Director | Jan 2, 2023 | ||
| W-2 Managing Employee | Jan 2, 2023 | ||
| Deborah Olubukunola Oyelowo |
Corporate Director |
Jan 2, 2023 | 50% |
| W-2 Managing Employee | Jan 2, 2023 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240208003383 | IL | Part a Provider - Home Health Agency | 8729421540 | Practice locations: Evergreen Park, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
9340 S Albany Ave
Evergreen Park, IL 60805-2420
Mailing address
9340 S Albany Ave
Evergreen Park, IL 60805-2420
Phone (708) 699-4476
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148418 | Other | IL | CCN |
Other providers in Evergreen Park, IL
- Alexander Reznikov, DDS, PC
- Samantha Louise Allen
- Abdallah Altarshan
- Alzein Medical LTD
- Hassan Alzein
- Amaris Counseling LLC
- Steven E Ambrose
- AMC School Apparel Centers
- Maame Amponsah
- Michael Anderson
All providers in Evergreen Park, IL · Home Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.