Organization Active NPI

Spectrum Nurses Incorporated

  • Home Health Agency
  • Bolingbrook, IL
National Provider Identifier
1992910558
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010235 Issued in IL
Legal business name
SPECTRUM NURSES INCORPORATED
Practice address
280 S Schmidt Rd
Bolingbrook, IL 60440-2723
Phone
(630) 771-9069
Fax
(630) 771-9075
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Berko A Owusu
Title
Owner
Phone
(630) 771-9069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010235 IL Primary

Addresses

Primary practice location

280 S Schmidt Rd
Bolingbrook, IL 60440-2723

Mailing address

280 S Schmidt Rd
Bolingbrook, IL 60440-2723
Phone (630) 771-9069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000229 IL Part A Provider - Home Health Agency 4688754674 Practice locations: Bolingbrook, IL

Home health agency certification: CCN 148176

Legal name
SPECTRUM NURSES INCORPORATED
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 2, 2010
Last certification
Aug 2, 2010
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 3, 2002 in IL
Enrollment address
280 S Schmidt Rd
Bolingbrook, IL 60440-2723

Care Compare: Home health agency

Medicare Care Compare
Listed as
Spectrum Nurses, IncCCN 148176
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Aug 2, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

280 S Schmidt Rd
Bolingbrook, IL 60440
Phone (630) 771-9069

481 W Boughton Rd
Ste 400
Bolingbrook, IL 60440
Phone (630) 771-9069

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.

NameRoleSinceShare
Berko Owusu Individual Contracted Managing Employee Apr 22, 2002 100%
5% Or Greater Direct Ownership Interest Apr 22, 2002
General Partnership Interest Mar 27, 2007
Corporate Director Mar 27, 2007
Pauline Owusu Individual General Partnership Interest Mar 27, 2007
Corporate Director Mar 27, 2007

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1992910558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S SCHMIDT RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402723",
            "telephone_number": "630-771-9069",
            "fax_number": "630-771-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S SCHMIDT RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402723",
            "telephone_number": "630-771-9069",
            "fax_number": "630-771-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM NURSES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "BERKO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-771-9069"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.