Visiting Nurses of Illinois, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VISITING NURSES OF ILLINOIS, INC.

Practice address

5901 N Cicero Ave Ste 102
Chicago, IL 60646-5715

Phone

(773) 728-6820

Fax

(773) 672-8895

NPI assigned

Sep 27, 2019

Last updated

Jun 25, 2021By 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

Mr. Balajoji Reddy Thanugundla

Title

President

Phone

(773) 728-6820

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578114716. Details of each certification follow.

• CCN 148384 Home health agency · Active · Details

Home health agency certification: CCN 148384

Legal name

VISITING NURSES OF ILLINOIS, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 6, 2021

Last certification

Jan 6, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 10, 2019 in IL

Enrollment address

5901 N Cicero Ave
Ste 102
Chicago, IL 60646-5715

Listed as

Visiting Nurses of Illinois IncCCN 148384 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Jan 6, 2021

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

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Olusoji Anthony Peter, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1225018203

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1578114716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465715",
            "telephone_number": "773-728-6820",
            "fax_number": "773-672-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE STE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465715",
            "telephone_number": "773-728-6820",
            "fax_number": "773-672-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSES OF ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "THANUGUNDLA",
        "authorized_official_first_name": "BALAJOJI",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-728-6820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5860 N Lincoln Ave Ste 2",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606594630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5901 N Cicero Ave Ste 102",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606465715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.