Active NPI
Octihealth, Inc.
- Home Health Agency
- Mount Prospect, IL
National Provider Identifier
1730764283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 30, 2023
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2273615 | Octihealth, Inc | Certificate of waiver | Dec 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Irina Shilshtut | Operational/Managerial Control | Mar 3, 2022 | 50% |
| Angela Wilson | Operational/Managerial Control | Jul 6, 2020 | 50% |
| Ishilt LLC | 5% Or Greater Direct Ownership Interest | Mar 1, 2022 | 50% |
| Purple Octopus, 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.