Active NPI
In Home Health LLC
Doing business as ProMedica Hospice (Northbrook)
- Community Based Hospice Care Agency
- Northbrook, IL
National Provider Identifier
1700838661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- IN HOME HEALTH LLC
- Doing business as
- ProMedica Hospice (Northbrook)
- Practice address
- 2100 Sanders Road
Suite 100
Northbrook, IL 60062-6199 - Phone
- (847) 272-7338
- Fax
- (847) 272-7380
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin D Allen
- Title
- Director
- Phone
- (419) 254-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2100 Sanders Road
Suite 100
Northbrook, IL 60062-6199
Mailing address
333 N Summit St
Attn: Dean Shipman
Toledo, OH 43604-1531
Phone (419) 254-7841
Other names 1
- ProMedica Hospice (Northbrook)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Nov 1, 2023 | Change of Ownership | Heartland Hospice (Northbrook) |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Heartland Hospice (Northbrook)
- Community Based Hospice Care Agency
- Buffalo Grove, IL
- NPI 1124727623
Sold to, 2023-11-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1700838661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"address_2": "ATTN: DEAN SHIPMAN",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-254-7841",
"fax_number": "419-252-6448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SANDERS ROAD",
"address_2": "SUITE 100",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600626199",
"telephone_number": "847-272-7338",
"fax_number": "847-272-7380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-254-5734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ProMedica Hospice (Northbrook)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ProMedica Hospice (Northbrook)",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Northbrook, IL
- Illinios Tech Lab Inc
- Illinois Professionals Health Program, LLC
- Img Capital LLC
- Img Sound LLC
- In Home Health LLC (Heartland Home Health Care and Hospice)
- Inbar Greenfeld Tairy PC
- Anne Ingratta
- Inmotion Wellness PLLC
- Inner Balance
- Insight:Eating Disorders, Weight Management & Psychological Centers (Eating Recovery Center of Illinois dba Insight Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.