Active NPI
Solidex Group LLC
- Home Health Agency
- Lincolnwood, IL
National Provider Identifier
1881208239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SOLIDEX GROUP LLC
- Practice address
- 3356 W Columbia Ave Apt 2
Lincolnwood, IL 60712-3855 - Phone
- (240) 714-9079
- Fax
- (844) 299-3007
- NPI assigned
- Sep 2, 2020
- 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
- Mr. Abiodun Theophilus Toriola
- Title
- Administrator
- Phone
- (240) 714-9079
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
3356 W Columbia Ave Apt 2
Lincolnwood, IL 60712-3855
Mailing address
3356 W Columbia Ave Apt 2
Lincolnwood, IL 60712-3855
Phone (240) 714-9079
Other names 1
- Solidex Home Healthcare Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230215001812 | IL | Part A Provider - Home Health Agency | 3375947591 | Practice locations: Lincolnwood, IL |
Home health agency certification: CCN 148406
- Legal name
- SOLIDEX GROUP LLC
- Doing business as
- SOLIDEX HOME HEALTHCARE SERVICES
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 29, 2023
- Last certification
- Jul 13, 2023
- Organization structure
- LLC
- Incorporated
- Feb 20, 2019 in IL
- Enrollment address
- 7358 N Lincoln Ave
Ste No170
Lincolnwood, IL 60712-1710
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Solidex Home Healthcare Services
- Ownership
- -
- Certified
- Jul 29, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Solidex Group LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Lincolnwood, IL
- NPI 1558030494
Locations
7358 N Lincoln Ave
Ste NO170
Lincolnwood, IL 60712
Phone (872) 249-9191
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Oluwatoyin Toriola | 5% Or Greater Direct Ownership Interest | May 30, 2021 | 49% |
| Abiodun Toriola | 5% Or Greater Direct Ownership Interest | May 30, 2021 | 51% |
| W-2 Managing Employee | May 30, 2022 | 51% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636070400000",
"number": "1881208239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 W COLUMBIA AVE APT 2",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123855",
"telephone_number": "240-714-9079",
"fax_number": "844-299-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 W COLUMBIA AVE APT 2",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607123855",
"telephone_number": "240-714-9079",
"fax_number": "844-299-3007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLIDEX GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-02",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A",
"authorized_official_last_name": "TORIOLA",
"authorized_official_first_name": "ABIODUN",
"authorized_official_middle_name": "THEOPHILUS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "240-714-9079",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Solidex Home Healthcare Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Solidex Home Healthcare Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.