Organization Active NPI

Sweet Love Home Care Agency Inc.

  • Home Health Agency
  • South Holland, IL
National Provider Identifier
1700353190
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SWEET LOVE HOME CARE AGENCY INC.
Practice address
17070 South Park Ave,
South Holland, IL 60473-6047
Phone
(708) 913-4003
Fax
(708) 913-4003
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Mrs. Felicite A Foster, OWNER
Title
Ceo
Phone
(773) 561-8236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17070 South Park Ave,
South Holland, IL 60473-6047

Mailing address

17070 South Park Ave,
South Holland, IL 60473-1735
Phone (773) 561-8236

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223002468 IL Part A Provider - Home Health Agency 9133531783 Practice locations: South Holland, IL

Home health agency certification: CCN 148391

Legal name
SWEET LOVE HOME CARE AGENCY INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 17, 2021
Last certification
Jun 24, 2021
Organization structure
CorporationProprietary
Incorporated
Oct 4, 2017 in IL
Enrollment address
17066 S Park Ave
South Holland, IL 60473-3369

Care Compare: Home health agency

Medicare Care Compare
Listed as
Sweet Love Home Care Agency, IncCCN 148391
Ownership
-
Certified
Aug 17, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Sweet Love Home Care Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Felicite Foster Individual 5% Or Greater Direct Ownership InterestPresident Oct 4, 2014 100%
Corporate OfficerPresident Oct 4, 2017 100%
Operational/Managerial Control Nov 1, 2020

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1700353190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 SOUTH PARK AVE,",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731735",
            "telephone_number": "773-561-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17070 SOUTH PARK AVE,",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604736047",
            "telephone_number": "708-913-4003",
            "fax_number": "708-913-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET LOVE HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "FELICITE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-561-8236",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.