Active NPI
Vintage Healthcare Services
- Nursing Care Agency
- Olympia Fields, IL
National Provider Identifier
1629323167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 4000250
- Legal business name
- VINTAGE HEALTHCARE SERVICES
- Practice address
- 20300 Governors Hwy
Olympia Fields, IL 60461-1011 - Phone
- (630) 517-0191
- Fax
- (630) 260-1035
- NPI assigned
- Jul 20, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eno Akano
- Title
- Director
- Phone
- (630) 517-0191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 4000250 | IL | Primary |
Addresses
Primary practice location
20300 Governors Hwy
Olympia Fields, IL 60461-1011
Mailing address
7 Blanchard Cir
Suite 103
Wheaton, IL 60189-2037
Phone (630) 517-0191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010816 | Medicaid | IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2003693 | Vintage Healthcare Services Inc | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Vintage Health Care Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Olympia Fields, IL
- NPI 1477712107
Locations
20300 Governors Hwy
Olympia Flds, IL 60461
Phone (630) 517-0191
7 Blanchard Cir
Ste 103
Wheaton, IL 60189
Phone (630) 517-0191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1629323167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 BLANCHARD CIR",
"address_2": "SUITE 103",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892037",
"telephone_number": "630-517-0191",
"fax_number": "630-260-1035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20300 GOVERNORS HWY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611011",
"telephone_number": "630-517-0191",
"fax_number": "630-260-1035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINTAGE HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-20",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "AKANO",
"authorized_official_first_name": "ENO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "630-517-0191"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "IL",
"license": "4000250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010816",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.