Organization Active NPI

CCLP, LLC

  • In Home Supportive Care Agency
  • Glen Ellyn, IL
National Provider Identifier
1659240992
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CCLP, LLC
Doing business as
2ND FAMILY HOME CARE AND SUPPORT SERVICES
Practice address
411 N Main St Ste 103
Glen Ellyn, IL 60137-5238
Phone
(312) 401-0990
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Benjamin MorrisseyNPI 1538957881
Title
Owner
Phone
(312) 401-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

411 N Main St Ste 103
Glen Ellyn, IL 60137-5238

Mailing address

411 N Main St Ste 103
Glen Ellyn, IL 60137-5238
Phone (312) 401-0990

Other names 1

  • 2ND FAMILY HOME CARE AND SUPPORT SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

411 N Main St
Ste 103
Glen Ellyn, IL 60137
Phone (312) 401-0990

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1659240992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N MAIN ST STE 103",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375238",
            "telephone_number": "312-401-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 N MAIN ST STE 103",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375238",
            "telephone_number": "312-401-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "MORRISSEY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-401-0990"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2ND FAMILY HOME CARE AND SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.