NPIMap

Organization Active NPI

Crown Home Health Services LLC

Doing business as Loyal Home Health

  • Home Health Agency
  • Hoffman Estates, IL
National Provider Identifier
1851571442
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CROWN HOME HEALTH SERVICES LLC
Doing business as
Loyal Home Health
Practice address
5407 Trillium Blvd Ste B260
Hoffman Estates, IL 60192-3413
Phone
(312) 888-3965
Fax
(312) 846-1267
NPI assigned
Nov 12, 2007
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Michael Trost
Title
Administrator
Phone
(312) 888-3965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5407 Trillium Blvd Ste B260
Hoffman Estates, IL 60192-3413

Mailing address

5407 Trillium Blvd Ste B260
Hoffman Estates, IL 60192-3413
Phone (312) 888-3965

Other names 1

  • Loyal Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090728000092 IL Part A Provider - Home Health Agency 8820141674 Practice locations: Hoffman Estates, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851571442. Details of each certification follow.

Home health agency certification: CCN 148150

Legal name
CROWN HOME HEALTH SERVICES, LLC
Doing business as
LOYAL HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 11, 2010
Last certification
May 11, 2010
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Dec 30, 2022 in IL
Enrollment address
5407 Trillium Blvd
Ste B260
Hoffman Estates, IL 60192-3413

Care Compare: Home health agency

Medicare Care Compare
Listed as
Loyal Home HealthCCN 148150 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
May 11, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
14D1086915Loyal Home Health5407 Trillium Blvd - Ste B260, Hoffman Estates, IL 60192Certificate of waiverJul 21, 2028

National Provider Directory

National Provider Directory

Locations

5407 Trillium Blvd
Ste B260
Hoffman Estates, IL 60192
Phone (312) 888-3965

1701 S 1st Ave
Ste 404A
Maywood, IL 60153
Phone (708) 344-1850

1701 S 1st Ave
Ste 404I
Maywood, IL 60153
Phone (708) 344-1850

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Hans Nelson Individual 5% Or Greater Direct Ownership Interest Dec 19, 2022 50%
Kevin Schaffer Individual W-2 Managing EmployeePresident Dec 19, 2022 25%
Rev Platform Al LLC Organization, Chicago, IL LLC 5% Or Greater Direct Ownership Interest Dec 19, 2022 75%
Alban Mehmeti Individual 5% Or Greater Direct Ownership Interest Dec 19, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1851571442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 TRILLIUM BLVD STE B260",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923413",
            "telephone_number": "312-888-3965",
            "fax_number": "312-846-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 TRILLIUM BLVD STE B260",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601923413",
            "telephone_number": "312-888-3965",
            "fax_number": "312-846-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "TROST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-888-3965"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loyal Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loyal Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.