Active NPI
Vital Care Hospice, LLC
- Community Based Hospice Care Agency
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Certified
- Mar 7, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Olukemi M Adeleke | 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 | Contracted Managing Employee | Apr 1, 2020 | |
| David Okunola | 5% Or Greater Direct Ownership Interest | Apr 3, 2020 | 25% |
| W-2 Managing Employee | Apr 3, 2020 | ||
| Edidiong Udonkang | 5% Or Greater Direct Ownership Interest | Apr 3, 2020 | 50% |
| Corporate Officer | Apr 3, 2020 | ||
| W-2 Managing Employee | 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.
-
- Nurse Practitioner
- Lisle, IL
- NPI 1952804361
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
-
- Internal Medicine Physician
- Oak Lawn, IL
- NPI 1750449880
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lisle, IL
- NPI 1952804361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.