Organization Active NPI

Transitions Home Medical Group PLLC

  • Nurse Practitioner
  • Elk Grove Village, IL
National Provider Identifier
1861960452
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
TRANSITIONS HOME MEDICAL GROUP PLLC
Practice address
2312 Touhy Ave
Elk Grove Village, IL 60007-5329
Phone
(847) 515-1505
NPI assigned
Nov 13, 2018
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Omar Khamis
Title
Ceo/Owner
Phone
(847) 515-1505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

2312 Touhy Ave
Elk Grove Village, IL 60007-5329

Mailing address

8913 N Prairie Pointe Rd
Peoria, IL 61615-1577
Phone (847) 515-1505

Other practice location 1

8435 Keystone Xing Ste 108
Indianapolis, IN 46240-4373
Phone (317) 519-6145

Other identifiers 1

IdentifierTypeStateIssuer
300009490MedicaidIL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10387/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1861960452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8913 N PRAIRIE POINTE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151577",
            "telephone_number": "847-515-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 TOUHY AVE",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600075329",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8435 Keystone Xing Ste 108",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462404373",
            "country_code": "US",
            "telephone_number": "317-519-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSITIONS HOME MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "KHAMIS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "847-515-1505"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300009490",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.