Organization Active NPI

Vintage Healthcare Services

  • Nursing Care Agency
  • Olympia Fields, IL
National Provider Identifier
1629323167
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
4000250 Issued in IL
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

Updated by the provider on Aug 17, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1010816MedicaidIL

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
14D2003693Vintage Healthcare Services Inc20300 Governors Hwy, Olympia Fields, IL 60461Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Vintage Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.