Organization Active NPI

Northwest Home Health Care, Inc.

  • Home Health Agency
  • East Chicago, IN
National Provider Identifier
1013121532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Mar 6, 2007 in IN
Enrollment address
2834 45TH St.
Unit 5B
Highland, IN 46322-2502
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Northwest Home Health Care IncCCN 157611
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 30, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1068074Northwest Home Health Care Inc2834 45TH St Unit 5B, Highland, IN 46322Certificate of waiverMay 1, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Charo Jean Jimenez Individual 5% Or Greater Direct Ownership InterestAdministrator/Don/President/Secr Nov 20, 2023 100%
Corporate OfficerAdministrator/Don/President/Secr Nov 20, 2023 100%
Corporate DirectorAdministrator/Don/President/Secr 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.

Affiliated clinicians 4

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

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

Sources for this page

Verify at the official NPI Registry.