Organization Active NPI

Vital Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Evergreen Park, IL
National Provider Identifier
1649892126
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
VITAL CARE HOSPICE, LLC
Practice address
3317 W 95TH St Ste 8
Evergreen Park, IL 60805-2243
Phone
(773) 232-7200
NPI assigned
May 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Edidiong Udonkang
Title
Manager
Phone
(773) 232-7200

Specialties & licenses 1

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

Addresses

Primary practice location

3317 W 95TH St Ste 8
Evergreen Park, IL 60805-2243

Mailing address

3317 W 95TH St Ste 8
Evergreen Park, IL 60805-2243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202002027 IL Part A Provider - Hospice 0840680088 Practice locations: Evergreen Park, IL

Hospice certification: CCN 141723

Legal name
VITAL CARE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 7, 2023
Last certification
Feb 21, 2023
Organization structure
LLCProprietary
Incorporated
Apr 3, 2020 in IL
Enrollment address
3317 W 95TH St
Ste 8
Evergreen Park, IL 60805-2243

Care Compare: Hospice

Medicare Care Compare
Listed as
Vital Care Hospice LLCCCN 141723 · All quality measures
Certified
Mar 7, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1400 Torrence Ave
Ste 205
Calumet City, IL 60409

3317 W 95th St
Ste 8
Evergreen Park, IL 60805
Phone (773) 232-7200

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Olukemi M Adeleke Individual 5% Or Greater Direct Ownership Interest Apr 3, 2020 25%
Corporate Director Apr 3, 2020
W-2 Managing Employee Apr 3, 2020
Satinder P Dalawari Individual Contracted Managing EmployeeMD; Apr 1, 2020
David Okunola Individual 5% Or Greater Direct Ownership Interest Apr 3, 2020 25%
W-2 Managing Employee Apr 3, 2020
Edidiong Udonkang Individual 5% Or Greater Direct Ownership Interest Apr 3, 2020 50%
Corporate Officer Apr 3, 2020
W-2 Managing EmployeeAd; Aug 22, 2023

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1649892126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 W 95TH ST STE 8",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 W 95TH ST STE 8",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052243",
            "telephone_number": "773-232-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "UDONKANG",
        "authorized_official_first_name": "EDIDIONG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-232-7200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.