Organization Active NPI

A1 Home Care Services LLC

  • In Home Supportive Care Agency
  • Homewood, IL
National Provider Identifier
1679229736
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
A1 HOME CARE SERVICES LLC
Practice address
920 175TH St
Homewood, IL 60430-2038
Phone
(708) 879-2840
Fax
(708) 365-2949
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Theresa OlusolaNPI 1447943154
Title
Manager
Phone
(708) 879-2840

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

920 175TH St
Homewood, IL 60430-2038

Mailing address

920 175TH St Ste 6
Homewood, IL 60430-2077
Phone (708) 879-2840

National Provider Directory

National Provider Directory

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": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1679229736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 175TH ST STE 6",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302077",
            "telephone_number": "708-879-2840",
            "fax_number": "708-879-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 175TH ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302038",
            "telephone_number": "708-879-2840",
            "fax_number": "708-365-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "OLUSOLA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-879-2840"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.