Professional Home Care Advantage, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROFESSIONAL HOME CARE ADVANTAGE, INC.

Practice address

2521 Ridge Rd Ste 1
Lansing, IL 60438-2792

Phone

(708) 858-2939

Fax

(708) 889-6317

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bolarinwa P Adeoye, MA, BA, BSN, RN, MSNNPI 1144091760

Title

Administrator

Phone

(708) 891-2013

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147660

Legal name

PROFESSIONAL HOME CARE ADVANTAGE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 9, 1997

Last certification

Mar 18, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

5875 N Lincoln Ave
Ste 232
Chicago, IL 60659-4668

Listed as

Professional Home Care Advantage IncCCN 147660

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jan 9, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Professional Home Care Advantage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Home Care Advantage, Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1700760261
  NPD tax ID

Locations

All disclosed owners & managing parties 3

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bolarinwa Adeoye

  • Registered Nurse
  • Lansing, IL
  • NPI 1144091760
  NPD Authorized official
• Cynthia Anyi Ogom, NP-C

  • Family Medicine Physician
  • Lansing, IL
  • NPI 1194327403
  NPD

Affiliated clinicians 1

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

• Edith Jenkins

  • Nurse Practitioner
  • Calumet City, IL
  • NPI 1982142527

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1801845896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 RIDGE RD STE 1",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382792",
            "telephone_number": "708-858-2939",
            "fax_number": "708-889-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 RIDGE RD STE 1",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382792",
            "telephone_number": "708-858-2939",
            "fax_number": "708-889-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE ADVANTAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "ADEOYE",
        "authorized_official_first_name": "BOLARINWA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-891-2013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, BA, BSN, RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1686069",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147660",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5627273",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Lansing, IL
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• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.