Active NPI
Cimpar at Home, LLC
- Home Health Agency
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CIMPAR AT HOME, LLC
- Practice address
- 101 Madison St Ste 300
Oak Park, IL 60302-4210 - Phone
- (708) 486-2700
- NPI assigned
- Mar 22, 2024
- 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
- Dheeraj Mahajan, MD
- Title
- Ceo
- Phone
- (312) 731-5700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Infusion Agency | 251F00000X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
101 Madison St Ste 300
Oak Park, IL 60302-4210
Mailing address
101 Madison St Ste 300
Oak Park, IL 60302-4210
Other names 1
- Reya At Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241213003463 | IL | Part A Provider - Home Health Agency | 1456887454 | Practice locations: Oak Park, IL |
Home health agency certification: CCN 148126
- Legal name
- CIMPAR AT HOME LLC
- Doing business as
- REYA AT HOME
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 30, 2010
- Last certification
- Sep 13, 2018
- Ownership / control type
- Proprietary
- Most recent change of ownership
- Mar 18, 2024
- Organization structure
- LLC
- Incorporated
- May 12, 2023 in IL
- Enrollment address
- 101 Madison St
Ste 300
Oak Park, IL 60302-4210
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Reya at Home
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 30, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Dheeraj Mahajan | 5% Or Greater Direct Ownership Interest | Mar 18, 2024 | 100% |
| Zantraquilla Z Madkins | Corporate Officer | Mar 18, 2024 | 100% |
| W-2 Managing Employee | Feb 12, 2024 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1831133693
5% Or Greater Direct Ownership Interest
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 18, 2024 | Change of Ownership | Royal Help Health Services,Inc |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Hoffman Estates, IL
- NPI 1760830210
Acquired from, 2024-03-18
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1831133693
-
- Transportation Broker
- Chicago, IL
- NPI 1588136360
Affiliated clinicians 1
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": "1711065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711065600000",
"number": "1013767276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MADISON ST STE 300",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MADISON ST STE 300",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603024210",
"telephone_number": "708-486-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIMPAR AT HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A",
"authorized_official_last_name": "MAHAJAN",
"authorized_official_first_name": "DHEERAJ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-731-5700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Reya At Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.