Active NPI
Olj Legacy Inc
Doing business as Synergy HomeCare IL21
- In Home Supportive Care Agency
- Flossmoor, IL
National Provider Identifier
1447155445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- Elbron Odisho, PHARMD
- April J Odom, NP
- Joshua Ogunfowora
- Sherry Plath Okeefe, PHD, LPC,NCC
- Yvonne Oldaker, CNM/APRN-FPA
- Kylie Alicia Olson, MS, OTR/L
- Olympia Fields Eyecare, LTD.
- Olympia Fields Internal Medicine (Horizon Healthcare Associates SC)
- Olympia Foot & Ankle Care, LTD.
- Omni Wound Consulting
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.