NPIMap

Organization Active NPI

PSG Services, LLC

Doing business as DBA Interim Healthcare

  • Home Health Agency
  • Alsip, IL
National Provider Identifier
1598725103
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010247 Issued in IL
Legal business name
PSG SERVICES, LLC
Doing business as
DBA Interim Healthcare
Practice address
12855 S Cicero Ave
Suite 200
Alsip, IL 60803-3043
Phone
(708) 422-2934
Fax
(708) 422-5528
NPI assigned
Mar 27, 2006
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Mr. Bernard D Bulger
Title
Administrator
Phone
(708) 422-2934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010247 IL Primary

Addresses

Primary practice location

12855 S Cicero Ave
Suite 200
Alsip, IL 60803-3043

Mailing address

12855 S Cicero Ave
Suite 200
Alsip, IL 60803-3043
Phone (708) 422-2934

Other identifiers 6

IdentifierTypeStateIssuer
50180OtherILBLUE CROSS PROVIDER NUMBE
N306219OtherILWELLCARE PROVIDER NUMBER
2154OtherILPROF BUSINESS ADM
37144249001MedicaidIL
000002649OtherILHUMANA PROVIDER NUMBER
5215621OtherILAETNA PROVIDER NUMBER

Other names 1

  • DBA Interim Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120327000795 IL Part A Provider - Home Health Agency 0042120503 Practice locations: Alsip, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598725103. Details of each certification follow.

Home health agency certification: CCN 147182

Legal name
PSG SERVICES, LLC
Doing business as
INTERIM HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 1, 1980
Last certification
Jun 6, 2013
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
in IL
Enrollment address
12855 S. Cicero Ave
Ste 200
Alsip, IL 60803-3043

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare of ChicagoCCN 147182 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0983747Interim Health Care12855 S Cicero Ave, Ste 200, Alsip, IL 60803Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
PSG Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10735 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (708) 581-5866

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Bernard D Bulger Individual 5% Or Greater Direct Ownership Interest Mar 11, 2003 30%
General Partnership InterestPresident Administrator Mar 11, 2003 30%
Limited Partnership InterestPresident Administrator Mar 11, 2003 30%
Corporate OfficerPresident Administrator Mar 11, 2003 30%
Corporate DirectorPresident Administrator Mar 11, 2003 30%
Joan M Sullivan Individual 5% Or Greater Direct Ownership InterestVice President Mar 11, 2003 70%
General Partnership Interest Mar 11, 2003 70%
Limited Partnership InterestVice President Mar 11, 2003 70%
Corporate OfficerVice President Mar 11, 2003 70%
W-2 Managing EmployeeVice President Mar 11, 2003 70%
Operational/Managerial ControlVice President Mar 11, 2003 70%
Old Second National Bank Organization, Aurora, IL Financial institution, For-profit 5% Or Greater Direct Ownership Interest Jan 24, 2018 10%

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1598725103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 S CICERO AVE",
            "address_2": "SUITE 200",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033043",
            "telephone_number": "708-422-2934",
            "fax_number": "708-422-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 S CICERO AVE",
            "address_2": "SUITE 200",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608033043",
            "telephone_number": "708-422-2934",
            "fax_number": "708-422-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSG SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BULGER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-422-2934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "50180",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER NUMBER",
            "identifier": "N306219",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROF BUSINESS ADM",
            "identifier": "2154",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37144249001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "000002649",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5215621",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Interim Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alsip, IL

Sources for this page

Verify at the official NPI Registry.