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agency

PROVIDENCE AT HOME

Tinley Park, IL

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CMS quality evidence by agency type

Home health quality stars (0-5)
4 Source
Home health timely start (%)
100 Source
Timely-start denominator
723 Source
Walking / mobility improved (%)
88 Source
Walking measure denominator
508 Source
Bathing improved (%)
96 Source
Breathing improved (%)
96 Source
Discharge function score
65 Source
Medicare spending ratio
1 Source

CMS enrollment and reported ownership

Enrolled legal organization
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME Source
Enrolled NPI
1568461820 Source
Organization structure
CORPORATION Source
Incorporation date and state
1956-04-06 (IL) Source
Enrollment proprietary status
Non-profit Source
CMS enrollment records
1 Source
Distinct reported owners
20 Source
Reported owner relationships
23 Source
Owner roles, dates, shares, and classifications
ARNOLD KOLDENHOVEN [Individual; CMS owner ID 6709048440]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, DARREN VAN ESSEN [Individual; CMS owner ID 1153709555]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, DAVE DEGRAFF [Individual; CMS owner ID 8426589847]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, DAVID VOSS [Individual; CMS owner ID 3971981374]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, EDWARD DAMSTRA [Individual; CMS owner ID 3072991470]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, ERIC M WOO [Individual; CMS owner ID 4789778630]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, GARY W LEO [Individual; CMS owner ID 6608307020]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, JOHANNA ZANDSTRA [Individual; CMS owner ID 1153580840]; role: W-2 MANAGING EMPLOYEE; associated: 2009-06-12; ownership: 0%; PE: not reported; REIT: not reported, KEVIN VAN SOLKEMA [Individual; CMS owner ID 5294225660]; role: CORPORATE DIRECTOR; associated: 2025-04-01; ownership: 0%; PE: not reported; REIT: not reported, KYLE YONKER [Individual; CMS owner ID 6305224999]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, LARRY JAY OTTE [Individual; CMS owner ID 3476043845]; role: OPERATIONAL/MANAGERIAL CONTROL; associated: 2025-11-01; ownership: 0%; PE: not reported; REIT: not reported, LARRY JAY OTTE [Individual; CMS owner ID 3476043845]; role: W-2 MANAGING EMPLOYEE; associated: 2005-09-12; ownership: 0%; PE: not reported; REIT: not reported, PATRICIA L JABAAY [Individual; CMS owner ID 8426436825]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, PAUL BUIKEMA [Individual; CMS owner ID 2163800566]; role: CORPORATE OFFICER; associated: 2024-04-01; ownership: 0%; PE: not reported; REIT: not reported, REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME [Organization; CMS owner ID 1052221470]; role: 5% OR GREATER DIRECT OWNERSHIP INTEREST; associated: 1994-03-30; ownership: 100%; PE: no; REIT: no, ROB PETROELJE [Individual; CMS owner ID 8325579741]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, ROSANN PROSSER [Individual; CMS owner ID 4789740341]; role: OPERATIONAL/MANAGERIAL CONTROL; associated: 2020-02-01; ownership: 0%; PE: not reported; REIT: not reported, ROSANN PROSSER [Individual; CMS owner ID 4789740341]; role: W-2 MANAGING EMPLOYEE; associated: 2020-02-01; ownership: not reported; PE: not reported; REIT: not reported, STEVEN KATS [Individual; CMS owner ID 4385134758]; role: CORPORATE DIRECTOR; associated: 2025-04-01; ownership: 0%; PE: not reported; REIT: not reported, THEODORE EARLE FEENSTRA [Individual; CMS owner ID 2860870458]; role: CORPORATE OFFICER; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, TIM BREEMS [Individual; CMS owner ID 5294962189]; role: CORPORATE DIRECTOR; associated: 2024-04-01; ownership: not reported; PE: not reported; REIT: not reported, WILLIAM ROGER DE YOUNG [Individual; CMS owner ID 5092793521]; role: OPERATIONAL/MANAGERIAL CONTROL; associated: 1995-12-26; ownership: 0%; PE: not reported; REIT: not reported, WILLIAM ROGER DE YOUNG [Individual; CMS owner ID 5092793521]; role: W-2 MANAGING EMPLOYEE; associated: 1995-12-26; ownership: 0%; PE: not reported; REIT: not reported Source
Owners CMS marks as private equity
0 Source
Owners CMS marks as REITs
0 Source

CMS identity

Agency type
Home health Source
Ownership type
Non-Profit Source
Phone
8005092800 Source
CMS address
18601 N CREEK DRIVE Source
ZIP code
60477 Source
Home health nursing
Yes Source
Home health physical therapy
Yes Source
Home health occupational therapy
Yes Source
Home health speech pathology
Yes Source
Home health medical social services
Yes Source
Home health aide services
Yes Source

Pricing

Published prices

Average submitted charges per home-health episode

$1,907.19

per home-health episode / provider-submitted charges divided by source utilization for Original Medicare fee-for-service claims

Current source Checked 2026-08-11 / Calendar year 2024

Includes: CMS final-action Medicare fee-for-service Part A claims included in the PAC public-use file.

Excludes: A patient quote, beneficiary out-of-pocket amount, Medicaid or self-pay services, and current availability.

Calculated from CMS provider totals: 1,105 home-health episodes, 497 distinct beneficiaries, $2,107,441 submitted charges, and $2,328,324 Medicare payment. Claims context only; not a provider price or patient cost.

CMS Medicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider source

Average Medicare payment per home-health episode

$2,107.08

per home-health episode / Medicare payment divided by source utilization for Original Medicare fee-for-service claims

Current source Checked 2026-08-11 / Calendar year 2024

Includes: CMS final-action Medicare fee-for-service Part A claims included in the PAC public-use file.

Excludes: A patient quote, beneficiary out-of-pocket amount, Medicaid or self-pay services, and current availability.

Calculated from CMS provider totals: 1,105 home-health episodes, 497 distinct beneficiaries, $2,107,441 submitted charges, and $2,328,324 Medicare payment. Claims context only; not a provider price or patient cost.

CMS Medicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider source

Market benchmarks

Average Medicare payment per home-health episode

$1,905.12

per home-health episode / Medicare payment divided by source utilization from CMS geographic totals

IL state benchmark / Home health / Original Medicare fee-for-service beneficiaries in the CMS PAC public-use file

Current source Effective Calendar year 2024 / Checked 2026-08-11

Weighted calculation from 356,655 home-health episodes and 112,545 distinct beneficiaries. Claims context only; not a provider price, patient cost, or quote.

CMS Medicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider source

Average submitted charges per home-health episode

$2,133.31

per home-health episode / provider-submitted charges divided by source utilization from CMS geographic totals

IL state benchmark / Home health / Original Medicare fee-for-service beneficiaries in the CMS PAC public-use file

Current source Effective Calendar year 2024 / Checked 2026-08-11

Weighted calculation from 356,655 home-health episodes and 112,545 distinct beneficiaries. Claims context only; not a provider price, patient cost, or quote.

CMS Medicare Post-Acute Care Utilization - Home Health Agency by Geography and Provider source

Benchmarks describe the named market, not this provider's quoted price.

Source trail

Research workflow

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