Blackbag Home Physician Service LLC
NPI 1770824161 · Health Service Clinic/Center · Park Forest, IL
Blackbag Home Physician Service LLC is a Health Service Clinic/Center organization in Park Forest, IL (NPI 1770824161).
Provider details
- NPI number
- 1770824161
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nichelle Hampton, Chief Executive Officer(312) 399-0285
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-03-09
- Last updated
- 2014-12-21
Frequently asked questions
- What is Blackbag Home Physician Service LLC's NPI number?
- Blackbag Home Physician Service LLC's National Provider Identifier (NPI) is 1770824161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blackbag Home Physician Service LLC?
- Blackbag Home Physician Service LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Blackbag Home Physician Service LLC located?
- Blackbag Home Physician Service LLC's practice location on file with NPPES is 437 Navajo St, Park Forest, IL 60466-2520.
- What is Blackbag Home Physician Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Blackbag Home Physician Service LLC is (815) 406-5011.
- Who is the authorized official for Blackbag Home Physician Service LLC?
- The authorized official listed on Blackbag Home Physician Service LLC's NPPES record is Nichelle Hampton, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blackbag Home Physician Service LLC's NPI active?
- Yes — Blackbag Home Physician Service LLC's NPI (1770824161) is active in the NPPES registry as of the last update on 2014-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.