Healthcare Provider Details

I. General information

NPI: 1659214609
Provider Name (Legal Business Name): SHS OF SPRINGFIELD ILLINOIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 CRESSA CT
SPRINGFIELD IL
62704-3278
US

IV. Provider business mailing address

1604 CRESSA CT
SPRINGFIELD IL
62704-3278
US

V. Phone/Fax

Practice location:
  • Phone: 217-814-9559
  • Fax: 217-814-9570
Mailing address:
  • Phone: 217-814-9559
  • Fax: 217-814-9570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BHUVNESH AGGARWAL
Title or Position: OWNER
Credential: MD
Phone: 216-496-4816