Organization Active NPI

Kinship Pace of Illinois, LLC

  • PACE Provider Organization
  • Chicago, IL
National Provider Identifier
1780538652
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
Legal business name
KINSHIP PACE OF ILLINOIS, LLC
Practice address
6560 W Fullerton Ave Ste C144
Chicago, IL 60707-3439
Phone
(754) 328-4715
NPI assigned
Feb 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Amber Hulon
Title
Compliance Officer
Phone
(727) 417-5819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PACE Provider Organization 251T00000X Primary

Addresses

Primary practice location

6560 W Fullerton Ave Ste C144
Chicago, IL 60707-3439

Mailing address

225 Crossways Park Dr
Woodbury, NY 11797-2083
Phone (754) 328-4715

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
14D2345173Kinship Pace of Illinois6560 West Fullerton Ave, Chicago, IL 60707Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory

Locations

6560 W Fullerton Ave
Ste C144
Chicago, IL 60707
Phone (754) 328-4715

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1780538652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CROSSWAYS PARK DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972083",
            "telephone_number": "754-328-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 W FULLERTON AVE STE C144",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607073439",
            "telephone_number": "754-328-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSHIP PACE OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "HULON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "727-417-5819"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.