Organization Active NPI

Independence Plus, Inc.

  • Home Health Agency
  • Oak Brook, IL
National Provider Identifier
1659356483
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1004472 Issued in IL
Legal business name
INDEPENDENCE PLUS, INC.
Practice address
800 Jorie Blvd Ste 100
Oak Brook, IL 60523-2252
Phone
(708) 366-4500
Fax
(708) 366-4553
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Dr. Danilo Coite
Title
Ceo
Phone
(800) 366-7696

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1004472 IL Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

800 Jorie Blvd Ste 100
Oak Brook, IL 60523-2252

Mailing address

800 Jorie Blvd Ste 100
Oak Brook, IL 60523-2252
Phone (800) 366-7696

Other identifiers 1

IdentifierTypeStateIssuer
9899OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000665 IL Part A Provider - Home Health Agency 5698822146 Practice locations: Oak Brook, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659356483. Details of each certification follow.

Home health agency certification: CCN 147504

Legal name
INDEPENDENCE PLUS, INC.
Doing business as
FIRST CHOICE OASIS AND CODING SPECIALTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 25, 1991
Last certification
May 30, 2008
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 26, 1989 in IL
Enrollment address
800 Jorie Blvd
Ste 100
Oak Brook, IL 60523-2252

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Independence Plus Inc.CCN 147504 · All quality measures
Ownership
Proprietary
Certified
Jun 25, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Independence Plus Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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
Dave Walczynski Individual Corporate OfficerCfo Apr 1, 2025
Tamara Muller Individual 5% Or Greater Direct Ownership Interest Jul 1, 2019 80%
Corporate Officer Mar 1, 1987 80%
Corporate DirectorPresident Feb 24, 2009
W-2 Managing EmployeeChairman, Board of Directors Jul 1, 2019 80%
Danilo R Coite Individual 5% Or Greater Direct Ownership Interest Sep 24, 2019 20%
Celeste Clarke Individual Corporate OfficerCorporate VP Jun 28, 2004
Corporate Director Feb 24, 2009

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Independence Plus-TX, LLCBoerne, TX, CCN 679169 Home health agency 5% Or Greater Direct Ownership Interest (100%) Sep 24, 2019

Owned or controlled facilities with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1659356483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 JORIE BLVD STE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232252",
            "telephone_number": "800-366-7696",
            "fax_number": "630-954-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JORIE BLVD STE 100",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232252",
            "telephone_number": "708-366-4500",
            "fax_number": "708-366-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "COITE",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-366-7696",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1004472",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "9899",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.