Active NPI
Spring Home Healthcare Inc
- Licensed Practical Nurse
- Chicago, IL
National Provider Identifier
1831860626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24825485001 | Medicaid | IL |
National Provider Directory
National Provider Directory- Tax ID family
- Spring Home Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Homemaker
- Morton Grove, IL
- NPI 1467120766
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.