1. Home
  2. Directory
  3. Illinois
  4. Glendale Heights
  5. Internal Medicine
  6. NPI Profile

PHYSICIANS HOME CARE LLC
NPI 1619687175
Internal Medicine - Geriatric Medicine in Glendale Heights, IL

Active since November 24, 2022
1508 BLOOMINGDALE RD STE B, GLENDALE HEIGHTS, IL 60139(331) 871-6674(630) 914-8814 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2025, Mar 8, 2023, Nov 24, 2022 (3 updates tracked since 2022).

About Physicians Home Care Llc NPPES

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

PHYSICIANS HOME CARE LLC (NPI 1619687175) is a healthcare organization registered as a geriatric medicine in Glendale Heights, Illinois and active in the NPI registry since November 2022. The organization lists Maryrose Tamoro Lazatin, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619687175
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePHYSICIANS HOME CARE LLC
Location Address1508 BLOOMINGDALE RD STE BGlendale Heights, IL 60139-2758
Mailing Address1508 Bloomingdale Rd Ste BGlendale Heights, IL 60139-2758 · (331) 871-6674 · Fax (630) 914-8814
Phone(331) 871-6674
Fax(630) 914-8814
Organization SubpartNo
Authorized OfficialMaryrose Tamoro LazatinOffice Manager · (331) 871-6674
Enumeration DateNovember 24, 2022
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1619687175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
1508 BLOOMINGDALE RD STE B, Glendale Heights, IL 60139
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physicians Home Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Physicians Home Care LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Oladunni Boladale, DNP
Nurse Practitioner
NPI 1639743107
494 W BOUGHTON RD STE 4D
Bolingbrook, IL 60440
(331) 246-6564
✔ PECOS✔ Accepts Medicare14 mi
Srinivas Prasad Jolepalem, M.D.
Internal Medicine
NPI 1568531564
8721 CARRIAGE GREEN DR
Darien, IL 60561
(630) 888-4815
✔ PECOS✔ Accepts Medicare14 mi
Ahmed Memon, NP
Nurse Practitioner
NPI 1033693742
3800 W MADISON ST
Chicago, IL 60624
(866) 267-2353
✔ PECOS✔ Accepts Medicare19 mi
Baongoc Truong
Nurse Practitioner
NPI 1275253866
2003 W FULTON ST STE 303
Chicago, IL 60612
(312) 243-2223
✔ PECOS✔ Accepts Medicare21 mi
Priscilla Lowe, FNP-BC
Nurse Practitioner
NPI 1710721907
5025 N PAULINA ST
Chicago, IL 60640
(872) 338-4996
✔ PECOS✔ Accepts Medicare22 mi

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

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 Physicians Home Care LLC's NPI number?

The NPI number for Physicians Home Care LLC is 1619687175. It was assigned to this organization in the NPPES registry on November 24, 2022.

Where is Physicians Home Care LLC located?

Physicians Home Care LLC is located at 1508 Bloomingdale Rd Ste B, Glendale Heights, IL 60139. The listed phone number is (331) 871-6674.

What is Physicians Home Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Physicians Home Care LLC enrolled in Medicare?

Yes. Physicians Home Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Home Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Physicians Home Care LLC. 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. The largest specialties are Nurse Practitioner (4) and Internal Medicine (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Physicians Home Care LLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.