OrganizationActive
Rest Haven Illiana Christian Convalescent Home
NPI 1407855562 · Community Based Hospice Care Agency · Homer Glen, IL
Provider details
- NPI number
- 1407855562
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Johanna Zandstra, Vp of Operations(708) 342-8100
Specialties & taxonomies
Agencies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14301 Independence Way
Homer Glen, IL 60491-7210
Phone: (708) 331-0400
Fax: (708) 877-4818
Street-level locationGet directions
Mailing address
14301 Independence Way
Homer Glen, IL 60491-7210
Other names (DBA / former)
- Doing business as
- Providence Hospice
- Doing business as
- Providence Hospice
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.