Organization Active NPI

Magnolia Home Health Services

  • In Home Supportive Care Agency
  • Flossmoor, IL
National Provider Identifier
1770233108
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAGNOLIA HOME HEALTH SERVICES
Practice address
19710 Governors Hwy Ste 5-1195
Flossmoor, IL 60422-2080
Phone
(708) 487-9029
Fax
(708) 487-9031
NPI assigned
Mar 28, 2022
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Ms. Audrey Haymer
Title
Manager
Phone
(224) 830-8898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

19710 Governors Hwy Ste 5-1195
Flossmoor, IL 60422-2080

Mailing address

PO Box 1215
Dolton, IL 60419-7215
Phone (708) 487-9029

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL wecare@magnoliahhs.com Direct

National Provider Directory

National Provider Directory

Locations

19710 Governors Hwy
Ste 51195
Flossmoor, IL 60422

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1770233108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604197215",
            "telephone_number": "708-487-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19710 GOVERNORS HWY STE 5-1195",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222080",
            "telephone_number": "708-487-9029",
            "fax_number": "708-487-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-28",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "HAYMER",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-830-8898",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wecare@magnoliahhs.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text message",
            "address_1": "19710 Governors Hwy Ste 5-1195",
            "city": "Flossmoor",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604222080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.