Organization Active NPI

Octihealth, Inc.

  • Home Health Agency
  • Mount Prospect, IL
National Provider Identifier
1730764283
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OCTIHEALTH, INC.
Practice address
350 W Kensington Rd Ste 114
Mount Prospect, IL 60056-1141
Phone
(847) 305-5484
Fax
(847) 305-5705
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Angela Wilson
Title
Ceo
Phone
(347) 707-3959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

350 W Kensington Rd Ste 114
Mount Prospect, IL 60056-1141

Mailing address

770 Rockwell LN
Des Plaines, IL 60016-6218
Phone (847) 305-5484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220523002081 IL Part A Provider - Home Health Agency 4082091566 Practice locations: Mount Prospect, IL

Home health agency certification: CCN 148399

Legal name
OCTIHEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 30, 2023
Last certification
Mar 24, 2023
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 6, 2020 in IL
Enrollment address
350 W Kensington Rd
Ste 114
Mount Prospect, IL 60056-1141

Care Compare: Home health agency

Medicare Care Compare
Listed as
Octihealth, Inc.CCN 148399
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 30, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
14D2273615Octihealth, Inc350 W Kensington Rd - Unit 114, Mount Prospect, IL 60056Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

350 W Kensington Rd
Ste 114
Mt Prospect, IL 60056
Phone (847) 305-5484

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Irina Shilshtut Individual Operational/Managerial ControlClinical Manager/Qapi/Coordinator Mar 3, 2022 50%
Angela Wilson Individual Operational/Managerial ControlCeo/Administrator Jul 6, 2020 50%
Ishilt LLC Organization, Buffalo Grove, IL Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 1, 2022 50%
Purple Octopus, LLC Organization, Des Plaines, IL Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 6, 2020 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1730764283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ROCKWELL LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166218",
            "telephone_number": "847-305-5484",
            "fax_number": "847-305-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W KENSINGTON RD STE 114",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561141",
            "telephone_number": "847-305-5484",
            "fax_number": "847-305-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTIHEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-707-3959"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.