Organization Active NPI

Transitions Home Medical Group PLLC

  • Nurse Practitioner
  • Elk Grove Village, IL
National Provider Identifier
1871890657
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
Fax
(847) 515-1503
NPI assigned
Feb 14, 2011
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
Mr. Omar Khamis
Title
Ceo
Phone
(847) 515-1505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.007375 IL
Nurse Practitioner 363L00000X 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 (815) 637-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110603000274 IL Part B Supplier - Clinic/Group Practice 7315124112 Receives reassigned benefits from 46 practitioners
Practice locations: Elk Grove Village, IL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

14701 Pulaski Rd
Midlothian, IL 60445
Phone (708) 239-2150

710 E Ogden Ave
Ste 500
Naperville, IL 60563

8435 Keystone Xing
Ste 100
Indianapolis, IN 46240

8435 Keystone Xing
Ste 108
Indianapolis, IN 46240
Phone (317) 359-3444

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1871890657",
    "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",
            "fax_number": "847-515-1503"
        },
        {
            "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",
            "fax_number": "847-515-1503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8435 Keystone Xing Ste 108",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462404373",
            "country_code": "US",
            "telephone_number": "815-637-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRANSITIONS HOME MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "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",
        "authorized_official_telephone_number": "847-515-1505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.007375",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.