QUALITYLIFE HEALTHCARE,LLC
NPI 1467787481
Home Health in South Holland, IL

Q: What is Qualitylife Healthcare,llc's NPI number?

The NPI number for Qualitylife Healthcare,llc is 1467787481. It was assigned to this organization in the NPPES registry on October 8, 2009.

Q: What is Qualitylife Healthcare,llc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Active since October 08, 2009CLIA 14D2007304 · Waiver

15525 S PARK AVE, SUITE 103A, SOUTH HOLLAND, IL 60473(708) 331-4214(708) 331-4216 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Qualitylife Healthcare,llc NPPES

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

QUALITYLIFE HEALTHCARE,LLC (NPI 1467787481) is a healthcare organization registered as a home health in South Holland, Illinois and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Olajide David Adewale, Agency Supervisor, as its authorized official.

NPPES Registry Identity

NPI1467787481

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameQUALITYLIFE HEALTHCARE,LLC

Location Address15525 S PARK AVE, SUITE 103ASouth Holland, IL 60473-1308

Mailing Address15525 S Park Ave Ste 103aSouth Holland, IL 60473-1379 · (708) 331-4214 · Fax (708) 331-4216

Phone(708) 331-4214

Fax(708) 331-4216

Organization SubpartNo

Authorized OfficialOlajide David AdewaleAgency Supervisor · (708) 331-4214

Enumeration DateOctober 8, 2009

Last NPPES UpdateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1467787481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

License✔ Licensed in IL · 1010971

Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Also ListedNursing CareTaxonomy 251J00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

15525 S PARK AVE, South Holland, IL 60473

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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Qualitylife Healthcare,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20091117000505Part A · Home Health AgencyDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2007304

Quality Life Healthcare LLC · South Holland, IL

Active · expires May 12, 2028

CLIA Number14D2007304

Laboratory TypeHome Health Agency

Certificate Effective DateMay 13, 2026

Certificate Expiration DateMay 12, 2028

Laboratory DirectorFolarin Opakunle

Laboratory Phone(708) 331-4214

Laboratory LocationQuality Life Healthcare LLC15525 S Park Ave, Ste 103A, South Holland, IL 60473

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERRY LEE JENSEN DO

Family Medicine

15525 S PARK AVE, SUITE 113
SOUTH HOLLAND, IL 60473

Cook County (708) 331-5100

ELVINA STEGALL

Clinic/Center (Rehabilitation, Substance Use Disorder)

15525 S PARK AVE, SUITE 114
SOUTH HOLLAND, IL 60473

Cook County (708) 263-9512

AWESOME STAR ENTERPRISE INC

Non-emergency Medical Transport (VAN)

15525 S PARK AVE, SUITE 100
SOUTH HOLLAND, IL 60473

Cook County (708) 357-1052

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 Qualitylife Healthcare,llc's NPI number?

The NPI number for Qualitylife Healthcare,llc is 1467787481. It was assigned to this organization in the NPPES registry on October 8, 2009.

Where is Qualitylife Healthcare,llc located?

Qualitylife Healthcare,llc is located at 15525 S Park Ave Suite 103A, South Holland, IL 60473. The listed phone number is (708) 331-4214.

What is Qualitylife Healthcare,llc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Is Qualitylife Healthcare,llc enrolled in Medicare?

Yes. Qualitylife Healthcare,llc is registered in the Medicare PECOS enrollment system.

When is Qualitylife Healthcare,llc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Illinois, Home Health Agency) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Qualitylife Healthcare,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2007304) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Qualitylife Healthcare,llc was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.