Active NPI
Northwest Home Health Care, Inc.
- Home Health Agency
- East Chicago, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- NORTHWEST HOME HEALTH CARE, INC.
- Practice address
- 529 W Chicago Ave
East Chicago, IN 46312-3206 - Phone
- (219) 397-8610
- Fax
- (219) 397-8611
- NPI assigned
- May 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Charo Jean Jimenez, BSN, RN
- Title
- Administrator
- Phone
- (219) 397-8610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IL | Primary |
Addresses
Primary practice location
529 W Chicago Ave
East Chicago, IN 46312-3206
Mailing address
529 W Chicago Ave
East Chicago, IN 46312-3206
Phone (219) 397-8610
Other names 1
- NA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080307000149 | IN | Part A Provider - Home Health Agency | 5991880452 | Practice locations: Highland, IN |
Home health agency certification: CCN 157611
- Legal name
- NORTHWEST HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 30, 2009
- Last certification
- Aug 27, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 6, 2007 in IN
- Enrollment address
- 2834 45TH St.
Unit 5B
Highland, IN 46322-2502
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Northwest Home Health Care Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 30, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D1068074 | Northwest Home Health Care Inc | Certificate of waiver | May 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
529 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-8610
2834 45th St
Unit 5B
Highland, IN 46322
Phone (219) 595-5448
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Charo Jean Jimenez | 5% Or Greater Direct Ownership Interest | Nov 20, 2023 | 100% |
| Corporate Officer | Nov 20, 2023 | 100% | |
| Corporate Director | Nov 20, 2023 | 100% | |
| W-2 Managing Employee | Feb 28, 2008 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- East Chicago, IN
- NPI 1316015944
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Schererville, IN
- NPI 1104826676
Home health agency
-
- Family Medicine Physician
- East Chicago, IN
- NPI 1588656995
Home health agency
-
- Internal Medicine Physician
- East Chicago, IN
- NPI 1316015944
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013121532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123206",
"telephone_number": "219-397-8610",
"fax_number": "219-397-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 W CHICAGO AVE",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463123206",
"telephone_number": "219-397-8610",
"fax_number": "219-397-8611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "CHARO JEAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "219-397-8610",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "BSN, RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Chicago, IN
- Praveen Nallapareddy, M.D.
- William Alan Nelson, LSW
- Crystal Newson
- Margaret M. Nichols
- Northshore Health Centers, Inc.
- Northwest Indiana Podiatry Clinic, LLC
- Northwest Procedures Medical Center and Immediate Care Centers
- Northwest Procedures Medical Centers and Immediate Care Centers
- Nwi Home Doctor and Pain Management LLC
- Nwi Home Doctor LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.