NPIMap

Organization Active NPI

Qualitylife Healthcare,LLC

  • Home Health Agency
  • South Holland, IL
National Provider Identifier
1467787481
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010971 Issued in IL
Legal business name
QUALITYLIFE HEALTHCARE,LLC
Practice address
15525 S Park Ave
Suite 103a
South Holland, IL 60473-1308
Phone
(708) 331-4214
Fax
(708) 331-4216
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Olajide David Adewale
Title
Agency Supervisor
Phone
(708) 331-4214

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010971 IL Primary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

15525 S Park Ave
Suite 103a
South Holland, IL 60473-1308

Mailing address

15525 S Park Ave Ste 103a
South Holland, IL 60473-1379
Phone (708) 331-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091117000505 IL Part A Provider - Home Health Agency 8123166865 Practice locations: South Holland, IL

Home health agency certification: CCN 148185

Legal name
QUALITYLIFE HEALTHCARE,LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 18, 2010
Last certification
Dec 24, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
15525 South Park Avenue
Suite 103a
South Holland, IL 60473-1379

Care Compare: Home health agency

Medicare Care Compare
Listed as
Quality Life Health Care Serv LLCCCN 148185
Ownership
Proprietary
Certified
Aug 18, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Qualitylife Healthcarellc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Olajide Adewale Individual 5% Or Greater Direct Ownership Interest May 14, 2009
General Partnership Interest Jan 31, 2011
Folarin Opakunle Individual 5% Or Greater Direct Ownership Interest May 14, 2009
General Partnership Interest Jan 31, 2011
W-2 Managing Employee Feb 1, 2014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1467787481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 S PARK AVE STE 103A",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731379",
            "telephone_number": "708-331-4214",
            "fax_number": "708-331-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 S PARK AVE",
            "address_2": "SUITE 103A",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731308",
            "telephone_number": "708-331-4214",
            "fax_number": "708-331-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITYLIFE HEALTHCARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "ADEWALE",
        "authorized_official_first_name": "OLAJIDE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "708-331-4214"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010971",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.