NPIMap

Organization Active NPI

Trinity Home Health Services

Doing business as Loyola Medicine Hospice

  • Community Based Hospice Care Agency
  • Oak Brook, IL
National Provider Identifier
1649320789
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
0004630 Issued in IL
Legal business name
TRINITY HOME HEALTH SERVICES
Doing business as
Loyola Medicine Hospice
Practice address
2301 W. 22ND Street
Suite 107
Oak Brook, IL 60523-4104
Phone
(888) 584-7888
Fax
(630) 574-2358
NPI assigned
Jan 11, 2007
Last updated
Mar 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Marcus Bowens
Title
Cfo
Phone
(770) 283-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 0004630 IL Primary

Addresses

Primary practice location

2301 W. 22ND Street
Suite 107
Oak Brook, IL 60523-4104

Mailing address

PO Box 532020
Livonia, MI 48153-2020
Phone (877) 827-0788

Other identifiers 3

IdentifierTypeStateIssuer
9729OtherILBLUE CROSS HOME INFUSION
1671580OtherILBC FEDERAL HOME HEALTH
0500OtherILBLUE CROSS

Other names 1

  • Loyola Medicine Hospice Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150911002532 IL Part A Provider - Hospice 1951357672 Practice locations: Oak Brook, IL
O20180612002319 IL Part B Supplier - Clinic/Group Practice 1951357672 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Oak Brook, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649320789. Details of each certification follow.

Hospice certification: CCN 141566

Legal name
TRINITY HOME HEALTH SERVICES
Doing business as
LOYOLA MEDICINE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 14, 1994
Last certification
Apr 2, 2019
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Oct 3, 1985 in MI
Enrollment address
2301 W 22ND St
Ste 107
Oak Brook, IL 60523-4104

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospice

Medicare Care Compare
Listed as
Loyola Medicine HospiceCCN 141566 · All quality measures
Ownership
Non-Profit
Certified
Apr 14, 1994
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Amicare Home Hlthcr Ia22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Ray Anderson Individual Corporate DirectorBoard Member Jan 1, 2025
Marcus a Bowens Individual Corporate OfficerTreasurer & Cfo Mar 23, 2022
Corinne Francis Individual Corporate DirectorBoard Member Jan 1, 2025
Benjamin E Petersen Individual Corporate OfficerCoo Nov 21, 2025
Melanie Agbay Individual W-2 Managing EmployeeAlt Admin/Clinical Manager Feb 1, 2021
Daniel Roth Individual Corporate DirectorBoard Member Jan 1, 2025
Joshua Moore Individual Corporate DirectorBoard Member Jan 1, 2025
Donald Mathews Individual Operational/Managerial ControlVP, Hospice and Palliative Care Feb 20, 2022
Daniel Drake Individual Corporate OfficerPresident & Ceo Aug 1, 2024
Corporate DirectorBoard Member Aug 1, 2024
Alma Phillips Individual W-2 Managing EmployeeAdministrator/Regional Hospic Oct 22, 2022
Jaime K Lewis Individual W-2 Managing EmployeeMedical Director Hospice Aug 8, 2022
Robert F Casalou Individual Corporate OfficerBoard Chair Jan 1, 2026
Corporate DirectorBoard Member Jan 1, 2026
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2015 100%
Daniel Isacksen Individual Corporate DirectorBoard Member Jan 1, 2025
Christine Seppala Individual Corporate OfficerSecretary Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Jaime Lewis
    • Hospice and Palliative Medicine (Internal Medicine) Physician
    • Chicago, IL
    • NPI 1366678096

    W-2 Managing Employee

    CMS ownership

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity Health at Home - MuskegonMuskegon, MI, CCN 237198 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 1997
Trinity Health at Home - Grand RapidsGrand Rapids, MI, CCN 237217 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1997
Jul 1, 1997
Mercy Home HealthNewtown, PA, CCN 397015 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2021
Trinity Health of New England at HomeHartford, CT, CCN 077005 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
Harbor HospiceMuskegon, MI, CCN 231508 Hospice 5% Or Greater Direct Ownership Interest (20%) Jan 29, 2017
Trinity Health at Home - Grand HavenGrand Haven, MI, CCN 231534 Hospice 5% Or Greater Indirect Ownership Interest (100%) Oct 1, 2022
Trinity Health of New England at HomeHartford, CT, CCN 071520 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2017
St. Mary HospiceNewtown, PA, CCN 731519 Hospice 5% Or Greater Indirect Ownership Interest (100%) Oct 24, 2024

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1649320789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532020",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481532020",
            "telephone_number": "877-827-0788",
            "fax_number": "734-343-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W. 22ND STREET",
            "address_2": "SUITE 107",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234104",
            "telephone_number": "888-584-7888",
            "fax_number": "630-574-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BOWENS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-283-4006"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IL",
            "license": "0004630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS HOME INFUSION",
            "identifier": "9729",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FEDERAL HOME HEALTH",
            "identifier": "1671580",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0500",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Loyola Medicine Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.