OrganizationActive
Provider Healthcare Services, Inc
NPI 1417352105 · Home Health Agency · Kankakee, IL
Provider Healthcare Services, Inc is a Home Health Agency organization in Kankakee, IL (NPI 1417352105).
Provider details
- NPI number
- 1417352105
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Sulaimon Oladipo, President(773) 301-8464
- License
- 1011663 (IL)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
555 South Schuyler
Suite 275
Kankakee, IL 60901
Phone: (773) 301-8464
Fax: (773) 530-2643
Street-level locationGet directions
Mailing address
555 S Schuyler Ave
Kankakee, IL 60901-5146
Registry dates
- Enumerated
- 2014-10-24
- Last updated
- 2014-10-27
Frequently asked questions
- What is Provider Healthcare Services, Inc's NPI number?
- Provider Healthcare Services, Inc's National Provider Identifier (NPI) is 1417352105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provider Healthcare Services, Inc?
- Provider Healthcare Services, Inc is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Provider Healthcare Services, Inc located?
- Provider Healthcare Services, Inc's practice location on file with NPPES is 555 South Schuyler, Kankakee, IL 60901.
- What is Provider Healthcare Services, Inc's phone number?
- The practice phone number listed in the NPPES registry for Provider Healthcare Services, Inc is (773) 301-8464.
- Who is the authorized official for Provider Healthcare Services, Inc?
- The authorized official listed on Provider Healthcare Services, Inc's NPPES record is Sulaimon Oladipo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provider Healthcare Services, Inc's NPI active?
- Yes — Provider Healthcare Services, Inc's NPI (1417352105) is active in the NPPES registry as of the last update on 2014-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.