SPECTRUM NURSES INCORPORATED – Home Health Agency, NPI 1992910558

SPECTRUM NURSES INCORPORATED is a healthcare provider. based in Bolingbrook, Illinois. specializing in Home Health Agency. The organization holds a License No. 1010235 (IL). The NPI Number for SPECTRUM NURSES INCORPORATED is 1992910558

Main info

Organization
Name
SPECTRUM NURSES INCORPORATED
NPI
1992910558
Phone
(630) 771-9069
Address
481 W BOUGHTON RD # 400
Authorized Official
BERKO A OWUSU OWNER
Enumeration Date
14 May 2007
Last Update Date
3 March 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for SPECTRUM NURSES INCORPORATED

  • 400, West Boughton Road, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604401821

    Phone: (630) 771-9069

    Fax: (630) 771-9075

    Mailing address matches the actual address.

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: 2008-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20080103000229OHome Health AgencyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 60440)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for SPECTRUM NURSES INCORPORATED?
SPECTRUM NURSES INCORPORATED — NPI 1992910558 — is the standard way to identify this listing.
Can I rely on SPECTRUM NURSES INCORPORATED being an active provider?
As of the registry snapshot, SPECTRUM NURSES INCORPORATED is marked active.
What is SPECTRUM NURSES INCORPORATED best known for clinically?
Directory data describes SPECTRUM NURSES INCORPORATED with Home Health Agency. Clinical services aligned with this taxonomy classification.
Where is SPECTRUM NURSES INCORPORATED based?
SPECTRUM NURSES INCORPORATED is tied to Bolingbrook, Illinois in the data we show; additional addresses may exist on the full record.
Why does SPECTRUM NURSES INCORPORATED have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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