Individual provider Active NPI

Olena Havrylovych

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1477361533
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3002247 Issued in IL
Practice address
9401 Bay Colony Dr Apt 2E
Des Plaines, IL 60016-3670
Phone
(508) 364-4675
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3002247 IL Primary

Addresses

Primary practice location

9401 Bay Colony Dr Apt 2E
Des Plaines, IL 60016-3670

Mailing address

9401 Bay Colony Dr Apt 2E
Des Plaines, IL 60016-3670
Phone (508) 364-4675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3002247ILMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen's Care Group.Inc CurrentSince Jun 15, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1477361533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 BAY COLONY DR APT 2E",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163670",
            "telephone_number": "508-364-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 BAY COLONY DR APT 2E",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163670",
            "telephone_number": "508-364-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRYLOVYCH",
        "first_name": "OLENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "3002247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.