AT HOME HEALTH SERVICES, LLC — NPI 1215203633 (CMS-Certified Home Health Care & Skilled Nursing Agency in MOKENA, IL)

CMS-1500 Box 24J / 33a • NPI

1215203633

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251E00000X (CMS A4[11])

CMS-Certified Home Health Care & Skilled Nursing Agency

Box 32 Service Location & ZIP+4

9435 BORMET DR, UNIT 1, MOKENA, IL, 60448-8363

✓ 9-Digit EDI 837 ZIP+4 (60448-8363)

Practice Phone & Referral Fax

(708) 478-6565

Fax: (708) 478-5458

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215203633 (AT HOME HEALTH SERVICES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215203633` (NPI-2 Organization / Facility)
Provider / Legal Name	AT HOME HEALTH SERVICES, LLC
Plain-English Specialty	CMS-Certified Home Health Care & Skilled Nursing Agency NUCC Code: `251E00000X` (Home Health)
Certifying / Licensing Body	CMS Home Health Conditions of Participation / CHAP / ACHC
Practice Location Address	9435 BORMET DR, UNIT 1, MOKENA, IL, 60448-8363
Practice Telephone / Fax	Tel: (708) 478-6565 \| Fax: (708) 478-5458
Administrative Mailing Address	9435 BORMET DR, MOKENA, IL, 60448-8363
Enumeration & Last Sync	Enumerated: 2012-03-29 \| CMS Record Updated: 2012-03-29
Authorized Official	PATRICK CUSTARDO (Credentialling Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9435 BORMET DR, UNIT 1, MOKENA, IL, 60448-8363

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Plain-English Taxonomy & CMS Crosswalk (251E00000X)

What Does Taxonomy Code 251E00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251E00000X translates to:
"CMS-Certified Home Health Care & Skilled Nursing Agency"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A4[11] (Home Health Agency) • CMS Code A4[11] (Home Health Agency (Subunit))
Certifying / Accrediting Authority: CMS Home Health Conditions of Participation / CHAP / ACHC
Clinical Scope: Post-hospital discharge recovery, homebound skilled nursing, physical therapy after joint replacement, or home IV antibiotic therapy.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AT HOME HEALTH SERVICES, LLC)

Typical CPT / Diagnostic Procedures:

In-Home Skilled Nursing Wound Care, Ostomy & Catheter Management
Home Intravenous Antibiotic Infusion (OPAT) & Post-Stroke Rehabilitation

Common Therapeutic Classes:

Home Infusion Antimicrobials, Anticoagulants & Insulin Titration

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: IL \| License: `Applied for` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AT HOME HEALTH SERVICES, LLC (NPI #1215203633)