Organization Active NPI

Olj Legacy Inc

Doing business as Synergy HomeCare IL21

  • In Home Supportive Care Agency
  • Flossmoor, IL
National Provider Identifier
1447155445
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OLJ LEGACY INC
Doing business as
Synergy HomeCare IL21
Practice address
19740 Governors Hwy Ste 100
Flossmoor, IL 60422-2085
Phone
(815) 534-1367
Fax
(815) 348-6101
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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

Authorized official

Name
Tyrone Jackson
Title
President
Phone
(202) 360-1885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

19740 Governors Hwy Ste 100
Flossmoor, IL 60422-2085

Mailing address

19740 Governors Hwy Ste 100
Flossmoor, IL 60422-2085
Phone (815) 534-1367

Other names 1

  • Synergy HomeCare IL21 Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1447155445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19740 GOVERNORS HWY STE 100",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222085",
            "telephone_number": "815-534-1367",
            "fax_number": "815-348-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19740 GOVERNORS HWY STE 100",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222085",
            "telephone_number": "815-534-1367",
            "fax_number": "815-348-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLJ LEGACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-360-1885"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare IL21",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.