I J HEALTHCARE NURSING RESOURCE LLC – Home Health Agency, NPI 1316991573

I J HEALTHCARE NURSING RESOURCE LLC is a healthcare provider. based in Tinley park, Illinois. specializing in Home Health Agency. The organization holds a License No. 1010445 (IL). The NPI Number for I J HEALTHCARE NURSING RESOURCE LLC is 1316991573

Main info

Organization
Name
I J HEALTHCARE NURSING RESOURCE LLC
NPI
1316991573
Phone
(708) 620-8599
Address
8200 185TH ST STE H14
Authorized Official
MS. JOLLY SAMUEL OWNER RN
Enumeration Date
20 May 2006
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for I J HEALTHCARE NURSING RESOURCE LLC

  • 8200 185TH ST STE H14

    TINLEY PARK, IL 604879308

    Phone: (708) 620-8599

    Fax: (708) 620-8874

    Type: Location

  • 8130, Apache Trail, Pottawatomi, Tinley Park, Orland Township, Cook County, Illinois, 60477, United States

    TINLEY PARK, IL 604776530

    Phone: (708) 620-8599

    Fax: (708) 620-8874

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-03-31 (799 days ago).

Enrollment records

1

Earliest due date

2024-03-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100422000836OHome Health AgencyIL2024-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60487)

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Reviews

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Frequently asked questions

How is I J HEALTHCARE NURSING RESOURCE LLC identified in CMS data?
CMS-hosted NPPES data lists I J HEALTHCARE NURSING RESOURCE LLC with NPI 1316991573.
Is I J HEALTHCARE NURSING RESOURCE LLC listed as active for patients and plans?
The listing shows I J HEALTHCARE NURSING RESOURCE LLC as active in the NPI system.
What healthcare role does I J HEALTHCARE NURSING RESOURCE LLC hold?
Scheduling teams often label I J HEALTHCARE NURSING RESOURCE LLC under Home Health Agency. Clinical services aligned with this taxonomy classification.
What area does I J HEALTHCARE NURSING RESOURCE LLC serve?
I J HEALTHCARE NURSING RESOURCE LLC's listing highlights Tinley Park, Illinois; more addresses can appear in NPPES.
Is the information about I J HEALTHCARE NURSING RESOURCE LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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