Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blackbag Home Physician Service LLC

Health Service Clinic/Center in Park Forest, IL · enumerated 2013 · authorized official Nichelle Hampton, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1770824161

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Registry record

Entity type Organization (Type 2)

Legal business name Blackbag Home Physician Service LLC

Practice address 437 Navajo St, Park Forest, IL, 60466

Phone (815) 406-5011

Fax (888) 311-8610

Enumeration date Mar 9, 2013

Last updated in NPPES Dec 21, 2014

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Nichelle Hampton

Title Chief Executive Officer

Phone (312) 399-0285

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-12-21. Verify at npiregistry.cms.hhs.gov.

Where is Blackbag Home Physician Service LLC located?

The practice location on file with NPPES is in Park Forest, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-21.