Organization Active NPI

Sacred Healthcare Group Inc

  • Nursing Care Agency
  • South Holland, IL
National Provider Identifier
1578455648
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SACRED HEALTHCARE GROUP INC
Practice address
15475 S Park Ave Ste 104B
South Holland, IL 60473-1378
Phone
(773) 317-1663
Fax
(708) 331-4216
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Olajide David Adewale, REGISTERED NURSE
Title
Agency Manager
Phone
(773) 317-1663

Specialties & licenses 2

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

Addresses

Primary practice location

15475 S Park Ave Ste 104B
South Holland, IL 60473-1378

Mailing address

15475 S Park Ave Ste 104B
South Holland, IL 60473-1378
Phone (773) 317-1663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1578455648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15475 S PARK AVE STE 104B",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731378",
            "telephone_number": "773-317-1663",
            "fax_number": "773-317-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15475 S PARK AVE STE 104B",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731378",
            "telephone_number": "773-317-1663",
            "fax_number": "708-331-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEALTHCARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "ADEWALE",
        "authorized_official_first_name": "OLAJIDE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "773-317-1663",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.