=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053830828
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARING SHEPHERDS HEALTH CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/13/2017
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15525 SOUTH PARK AVE SUITE 103B
-----------------------------------------------------
City | SOUTH HOLLAND
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60473
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-331-4214
-----------------------------------------------------
Fax | 708-331-4216
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15525 S PARK AVE STE 103B
-----------------------------------------------------
City | SOUTH HOLLAND
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60473-1379
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-331-4214
-----------------------------------------------------
Fax | 708-331-4216
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SUPERVISOR
-----------------------------------------------------
Name | MR. FOLARIN OPAKUNLE
-----------------------------------------------------
Credential | RN, MSN FNP
-----------------------------------------------------
Telephone | 708-331-4214
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number | 4000533
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------