Organization Active NPI

Spring Home Healthcare Inc

  • Licensed Practical Nurse
  • Chicago, IL
National Provider Identifier
1831860626
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
SPRING HOME HEALTHCARE INC
Practice address
2622 W Peterson Ave Ste 6
Chicago, IL 60659-4032
Phone
(773) 654-1678
Fax
(773) 943-6352
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Omolola I Asielue, DR
Title
Administrator
Phone
(773) 654-1678

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X Primary
Nursing Care Agency 251J00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X

Addresses

Primary practice location

2622 W Peterson Ave Ste 6
Chicago, IL 60659-4032

Mailing address

2622 W Peterson Ave Ste 6
Chicago, IL 60659-4032
Phone (773) 654-1678

Other practice location 1

920 S Spring St
Springfield, IL 62704-2725
Phone (773) 302-6911

Other identifiers 1

IdentifierTypeStateIssuer
24825485001MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Spring Home Healthcare Inc2 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.

Locations

3601 W Devon Ave
Ste 9
Chicago, IL 60659

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1831860626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 W PETERSON AVE STE 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594032",
            "telephone_number": "773-654-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 W PETERSON AVE STE 6",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594032",
            "telephone_number": "773-654-1678",
            "fax_number": "773-943-6352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 S Spring St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627042725",
            "country_code": "US",
            "telephone_number": "773-302-6911",
            "fax_number": "773-943-6352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPRING HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "ASIELUE",
        "authorized_official_first_name": "OMOLOLA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-654-1678",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24825485001",
            "state": "IL"
        }
    ],
    "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 May 19, 2025; 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.