Northwest Homer Fire Protection

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

723101 Issued in IL

Legal business name

NORTHWEST HOMER FIRE PROTECTION

Practice address

16152 W 143Rd St
Lockport, IL 60491-8595

Phone

(815) 838-0180

Fax

(815) 838-0180

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Betty Olisar

Title

Administrative Assistant

Phone

(815) 838-0180

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1962512236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "336-518-6343",
            "fax_number": "336-510-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16152 W 143RD ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604918595",
            "telephone_number": "815-838-0180",
            "fax_number": "815-838-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HOMER FIRE PROTECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "OLISAR",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "815-838-0180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "723102",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IL",
            "license": "723103",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "723101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Adel Nasra, JN24740803P
• Jennifer Navarro, RN
• Sidney Neugebauer
• Sheila M Newcomb, PT
• Laura S Nolan, CPNP
• Jessica Nosalik
• Jennifer S O'Boyle, PA
• Danielle O'Connell
• Samantha J O'Neill
• Occusport Services Inc.

• Land Ambulance in Lockport, IL
• Providers in Lockport, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.