Home Health One LTD

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010615 Issued in IL

Legal business name

HOME HEALTH ONE LTD

Practice address

825 N Cass Ave Ste 111
Westmont, IL 60559-6401

Phone

(630) 887-8609

Fax

(630) 887-8615

NPI assigned

Nov 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elma Dela Cruz-de Vera

Title

President/Administrator

Phone

(630) 887-8609

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147999

Legal name

HOME HEALTH ONE, LTD

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2008

Last certification

May 26, 2011

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 1, 2006 in IL

Enrollment address

825 N Cass Ave
Ste 111
Westmont, IL 60559-6401

Listed as

Home Health One, LTDCCN 147999

Overall star rating

4 of 5

Ownership

Proprietary

Certified

Sep 15, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Khaja Asadullah, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Frankfort, IL
  • NPI 1578515409

  Home health agency

  Care Compare affiliation
• Niluardo Cay, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1588766646

  Home health agency

  Care Compare affiliation
• Mohammed Akbar Yousuf, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Lemont, IL
  • NPI 1811172018

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1013086511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 111",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "630-887-8609",
            "fax_number": "630-887-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 N CASS AVE STE 111",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605596401",
            "telephone_number": "630-887-8609",
            "fax_number": "630-887-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH ONE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ-DE VERA",
        "authorized_official_first_name": "ELMA",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "630-887-8609"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010615",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Ellen Hogan, RPH
• Karen M Hoganson, LCSW
• Holicare
• Holland Chiropractic Center P.C.
• Stuart D Holland, DC
• Homebound Visiting Doctors Inc
• Lauren Homerding, RPHT
• David Hong, RPH
• Hope Health Care of Chicago, LLC
• Susan Hoskins, PT, MPT

• Home Health Agency in Westmont, IL
• Providers in Westmont, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.