NPIMap

1103 Health Partners, LLC

Organization Active NPI Home Health Agency · Libertyville, IL

NPI 1699218271 · NPPES record last updated Sep 30, 2025

Key facts

NPI
1699218271
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
Legal business name
1103 HEALTH PARTNERS, LLC
Practice address
1585 N Milwaukee Ave Ste 105
Libertyville, IL 60048-1359
Phone
(847) 433-5650
NPI assigned
Nov 30, 2016
Organization subpart
No

Authorized official

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

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.

Corporate family (same tax ID) 1

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

Affiliated clinicians 13

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

Medicare Care Compare: Home health agency

Listed as
Interim Healthcare of Lake County CCN 148381
Overall star rating
★★★☆☆ 3 of 5
Ownership
Proprietary
Certified
Jul 23, 2020
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2172999Interim Healthcare of Lake County
1585 N Milwaukee Ave, Libertyville, IL 60048		Certificate of waiverOct 2, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

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
LLC · Proprietary
Incorporated
Mar 22, 2016 in IL
Enrollment address
1585 N Milwaukee Ave
Ste 105
Libertyville, IL 60048-1359

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 Interest
Vice 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 Interest
Owner, Administrator		 Mar 22, 2016 50%
Corporate Officer
Ceo, Administrator, Director		 Mar 22, 2016 50%
Corporate Director Mar 22, 2016 50%
Operational/Managerial Control Mar 22, 2016
Jeanne L Byl
Individual 		Corporate Officer
Chief Operating Officer		 May 6, 2022

Medicare enrollment records

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

National Provider Directory

Tax ID family
1103 Health Partners LLC (2 organizations share this tax ID)

Locations

4 Highwood Ave
Ste 2E
Highwood, IL 60040

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

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

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

Electronic endpoints

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 30, 2025.

{
    "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

All providers in Libertyville, IL · Home Health Agency in Illinois

Sources for this page

Verify at the official NPI Registry.