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REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
NPI 1407855562
Hospice Care, Community Based in Homer Glen, IL

Active since July 20, 2005
14301 INDEPENDENCE WAY, HOMER GLEN, IL 60491(708) 331-0400(708) 877-4818 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 26, 2026, Apr 2, 2019 (2 updates tracked since 2019).

About Rest Haven Illiana Christian Convalescent Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME (NPI 1407855562), doing business as Providence Hospice, is a healthcare organization registered as a hospice care, community based in Homer Glen, Illinois and active in the NPI registry since July 2005. The organization lists Johanna Zandstra, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1407855562
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameREST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Location Address14301 INDEPENDENCE WAYHomer Glen, IL 60491-7210
Mailing Address14301 Independence WayHomer Glen, IL 60491-7210 · (800) 509-2800 · Fax (708) 877-4818
Phone(708) 331-0400
Fax(708) 877-4818
Organization SubpartNo
Authorized OfficialJohanna ZandstraVp Of Operations · (708) 342-8100
Enumeration DateJuly 20, 2005
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1407855562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License✔ Licensed in IL · 2002251
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X
14301 INDEPENDENCE WAY, Homer Glen, IL 60491
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Other Names 1

Doing Business AsProvidence Hospice

Other Identifiers 1

Other2002251IL · Hospice License Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rest Haven Illiana Christian Convalescent Home is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rest Haven Illiana Christian Convalescent Home, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Lindsey Tengerstrom, M.D.
Hospice/Palliative Care
NPI 1972846152
7110 WEST 127TH STREET
Palos Heights, IL 60463
(708) 923-6300
✔ PECOS✔ Accepts Medicare7.0 mi
Michelle Buikema, NP-C
Nurse Practitioner
NPI 1760757280
5101 WILLOW SPRINGS RD
La Grange, IL 60525
(708) 245-4073
✔ PECOS✔ Accepts Medicare12 mi
Beth Ann Avanzado, MSN, APN, FNP-C
Nurse Practitioner
NPI 1861862658
133 E BRUSH HILL RD UNIT 301
Elmhurst, IL 60126
(630) 832-2183
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospice Care Quality CMS Care Compare

Quality measures, care settings and the Hospice Care Index for Providence Hospice (CMS certification number 141609), from CMS Care Compare.

Providence Hospice

Hospice · Tinley Park, IL
OwnershipNon-Profit
CMS Certification Number141609
CMS RegionRegion 5
Medicare-Certified SinceFebruary 10, 2003
Average Daily Census45patients per day on average
Location18601 N Creek Drive Suite ATinley Park, IL 60477 · Cook County
Phone(708) 331-0400
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home42%
Assisted living facility7%
Nursing facility4%
Skilled nursing facility44%
Patients with cancer
18%
Patients with dementia
22%
Patients with circulatory or heart disease
9%
Patients with respiratory disease
6%
Patients with stroke
17%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
195 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
195 patient stays
99.5%
Hospice and Palliative Care Pain Screening
195 patient stays
97.4%
Hospice and Palliative Care Pain Assessment
81 patient stays
98.8%
Hospice and Palliative Care Dyspnea Screening
195 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
34 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
41 patient stays
92.7%
Hospice and Palliative Care Composite Process Measure
195 patient stays
94.9%
Hospice Visits in the Last Days of Life
283 patient stays
71.7%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 27
36.6%
Early live discharges
National percentile 50
5.9%
Late live discharges
National percentile 55
41.2%
Burdensome transitions, Type 1
National percentile 75
11.8%
Burdensome transitions, Type 2
National percentile 43
0%
Per-beneficiary spending
National percentile 20
$11,402
Nurse care minutes per routine home care days
National percentile 65
13.7 minutes
Skilled nursing minutes on weekends
National percentile 43
7.4%
Visits near death
National percentile 51
93.3%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rest Haven Illiana Christian Convalescent Home's NPI number?

The NPI number for Rest Haven Illiana Christian Convalescent Home is 1407855562. It was assigned to this organization in the NPPES registry on July 20, 2005. The provider is doing business as Providence Hospice.

Where is Rest Haven Illiana Christian Convalescent Home located?

Rest Haven Illiana Christian Convalescent Home is located at 14301 Independence Way, Homer Glen, IL 60491. The listed phone number is (708) 331-0400.

What is Rest Haven Illiana Christian Convalescent Home's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Is Rest Haven Illiana Christian Convalescent Home enrolled in Medicare?

Yes. Rest Haven Illiana Christian Convalescent Home is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rest Haven Illiana Christian Convalescent Home?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Rest Haven Illiana Christian Convalescent Home, in Hospice/Palliative Care and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Rest Haven Illiana Christian Convalescent Home a Medicare-certified hospice?

Yes. Providence Hospice is a Medicare-certified hospice (CMS certification number 141609), certified since February 10, 2003.

What insurance does Rest Haven Illiana Christian Convalescent Home accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rest Haven Illiana Christian Convalescent Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rest Haven Illiana Christian Convalescent Home was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.