Kingsway Home Health Services,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011014 Issued in IL

Legal business name

KINGSWAY HOME HEALTH SERVICES,INC

Practice address

7042 N Milwaukee Ave
Niles, IL 60714-4423

Phone

(773) 761-8342

Fax

(773) 761-3388

NPI assigned

Oct 30, 2008

Last updated

Dec 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olubayode Oluwole

Title

Administrator

Phone

(773) 761-8342

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518110840. Details of each certification follow.

• CCN 148160 Home health agency · Active · Details

Home health agency certification: CCN 148160

Legal name

KINGSWAY HOME HEALTH SERVICES,INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 9, 2010

Last certification

Jun 9, 2010

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 21, 2008 in IL

Enrollment address

7042 N Milwaukee Ave
Niles, IL 60714-4423

Listed as

Kingsway Home Health Services, IncCCN 148160 · All quality measures

Ownership

Proprietary

Certified

Jun 9, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1518110840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7042 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144423",
            "telephone_number": "773-761-8342",
            "fax_number": "773-761-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7042 N MILWAUKEE AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144423",
            "telephone_number": "773-761-8342",
            "fax_number": "773-761-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY HOME HEALTH SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "OLUWOLE",
        "authorized_official_first_name": "OLUBAYODE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-761-8342"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011014",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000413",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Kim, LCSW
• Kyung S Kim, M.D.
• Mary Grace Kim, D.D.S.
• Sung Youn Kim, O.D.
• Young Hee Kim
• Kirill Zhadovich, M.D., S.C.
• Ellaine Kiriluk, SLP
• Leonard M Klein
• Iwona Danuta Kochanski, D.D.S.
• Sara Marie Kochanski, M.A. SLP

• Home Health Agency in Niles, IL
• Providers in Niles, IL by specialty
• Home Health Agency in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.