Active NPI
Amenity Health Care Inc
- Community Based Hospice Care Agency
- Addison, IL
National Provider Identifier
1639796410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMENITY HEALTH CARE INC
- Practice address
- 715 W Lake St Ste 202
Addison, IL 60101-2082 - Phone
- (630) 366-6424
- Fax
- (630) 366-6550
- NPI assigned
- Jun 29, 2020
- Last updated
- Sep 28, 2026
- 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
- Shashipriya S Liyanapatabendi
- Title
- Owner
- Phone
- (630) 366-6424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
715 W Lake St Ste 202
Addison, IL 60101-2082
Mailing address
715 W Lake St Ste 202
Addison, IL 60101-2082
Phone (630) 366-6424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201021003324 | IL | Part A Provider - Hospice | 6103241781 | Practice locations: Addison, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1639796410. Details of each certification follow.
Hospice certification: CCN 141709
- Legal name
- AMENITY HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 10, 2021
- Last certification
- Jun 10, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 21, 2008 in IL
- Enrollment address
- 715 W Lake St
Ste 202
Addison, IL 60101-2082
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amenity Health Care Inc
- Ownership
- For-Profit
- Certified
- Jun 10, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
715 W Lake St
Addison, IL 60101
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Shashipriya Liyanapata Sendi | 5% Or Greater Direct Ownership Interest | Jun 28, 2020 | 100% |
| Corporate Director | Jun 28, 2020 | 100% | |
| W-2 Managing Employee | Jun 28, 2020 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Park Ridge, IL
- NPI 1689976649
-
- Family Nurse Practitioner
- Park Ridge, IL
- NPI 1659935336
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Elgin, IL
- NPI 1811164916
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1639796410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 W LAKE ST STE 202",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012082",
"telephone_number": "630-366-6424",
"fax_number": "630-366-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W LAKE ST STE 202",
"city": "ADDISON",
"state": "IL",
"postal_code": "601012082",
"telephone_number": "630-366-6424",
"fax_number": "630-366-6550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMENITY HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-29",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "LIYANAPATABENDI",
"authorized_official_first_name": "SHASHIPRIYA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-366-6424"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.