Grace Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACE HOME HEALTH SERVICES INC

Practice address

19900 Governors Dr Ste 300P
Olympia Fields, IL 60461-1059

Phone

(708) 898-0917

Fax

(708) 898-1039

NPI assigned

Jan 19, 2023

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Festus Kuforiji

Title

President

Phone

(773) 829-1348

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841905296. Details of each certification follow.

• CCN 148416 Home health agency · Active · Details

Home health agency certification: CCN 148416

Legal name

GRACE HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 23, 2024

Last certification

Jun 27, 2024

Organization structure

CorporationProprietary

Incorporated

Dec 27, 2022 in IL

Enrollment address

19900 Governors Dr
Ste 300P
Olympia Fields, IL 60461-1059

Listed as

Grace Home Health Services IncCCN 148416 · All quality measures

Overall star rating

2 of 5

Ownership

-

Certified

Jul 23, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mutiat Kuforiji

  • Registered Nurse
  • Matteson, IL
  • NPI 1790445708
  NPD

Affiliated clinicians 1

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

• Sandeep K. Atwal, APN

  • Family Nurse Practitioner
  • Palos Hills, IL
  • NPI 1245801059

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1841905296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 300P",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611059",
            "telephone_number": "708-898-0917",
            "fax_number": "708-898-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GOVERNORS DR STE 300P",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611059",
            "telephone_number": "708-898-0917",
            "fax_number": "708-898-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "KUFORIJI",
        "authorized_official_first_name": "FESTUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-829-1348"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "19900 Governors Dr Ste 300P",
            "city": "Olympia Fields",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604611059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aravind Gopal, MD
• Gordon Dental Associates, LTD.
• Angela Gordon, DDS
• Mateusz Dawid Gorecki, DO
• Kelli Lynn Goshay, RN
• Gracetouch Home Care Services
• James A Gramm
• Sarah A Green, DO
• Thomas E. Green, DO
• Collin Martin Greer, MD

• Home Health Agency in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.