NPIMap

Organization Active NPI

1103 Health Partners, LLC

Doing business as Interim Healthcare of Lake County

  • Home Health Agency
  • Libertyville, IL
National Provider Identifier
1699218271
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
1103 HEALTH PARTNERS, LLC
Doing business as
Interim Healthcare of Lake County
Interim Healthcare of Northern Illinois
Practice address
1585 N Milwaukee Ave Ste 105
Libertyville, IL 60048-1359
Phone
(847) 433-5650
NPI assigned
Nov 30, 2016
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Steven Alessandro
Title
Ceo
Phone
(847) 457-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1585 N Milwaukee Ave Ste 105
Libertyville, IL 60048-1359

Mailing address

1585 N Milwaukee Ave Ste 105
Libertyville, IL 60048-1359
Phone (847) 433-5650

Other names 2

  • Interim Healthcare of Lake County Doing business as
  • Interim Healthcare of Northern Illinois Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213002660 IL Part A Provider - Home Health Agency 8325474141 Practice locations: Rockford, IL; Libertyville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699218271. Details of each certification follow.

Home health agency certification: CCN 148381

Legal name
1103 HEALTH PARTNERS LLC
Doing business as
INTERIM HEALTHCARE OF LAKE COUNTY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 23, 2020
Last certification
Jul 23, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 22, 2016 in IL
Enrollment address
1585 N Milwaukee Ave
Ste 105
Libertyville, IL 60048-1359

Care Compare: Home health agency

Medicare Care Compare
Listed as
Interim Healthcare of Lake CountyCCN 148381 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 23, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2172999Interim Healthcare of Lake County1585 N Milwaukee Ave, Libertyville, IL 60048Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
1103 Health Partners LLC2 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.

Locations

4 Highwood Ave
Ste 2E
Highwood, IL 60040

1491 S Bell School Rd
Ste 1
Rockford, IL 61108
Phone (815) 888-6560

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
James R Wesner Individual 5% Or Greater Direct Ownership InterestVice President Mar 22, 2016 50%
Corporate Officer Mar 22, 2016 50%
Corporate Director Mar 22, 2016 50%
Operational/Managerial Control Mar 22, 2016 50%
Steven J Alessandro Individual 5% Or Greater Direct Ownership InterestOwner, Administrator Mar 22, 2016 50%
Corporate OfficerCeo, Administrator, Director Mar 22, 2016 50%
Corporate Director Mar 22, 2016 50%
Operational/Managerial Control Mar 22, 2016
Jeanne L Byl Individual Corporate OfficerChief Operating Officer May 6, 2022

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 13

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1699218271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "847-433-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N MILWAUKEE AVE STE 105",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481359",
            "telephone_number": "847-433-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1103 HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-457-1808"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S PRICE RD STEB",
            "city": "BROWNSVILLE",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Interim Healthcare of Lake County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Lake County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim Healthcare of Northern Illinois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.