NPIMap

Organization Active NPI

Care for Life Home Health Inc.

  • Home Health Agency
  • South Elgin, IL
National Provider Identifier
1013929124
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010550 Issued in IL
Legal business name
CARE FOR LIFE HOME HEALTH INC.
Practice address
182 Melrose Ave Ste 1
South Elgin, IL 60177-1646
Phone
(847) 214-3633
Fax
(847) 214-3634
NPI assigned
Aug 13, 2006
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Mrs. Mia Pacheco, R.N.
Title
President
Phone
(847) 624-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010550 IL Primary

Addresses

Primary practice location

182 Melrose Ave Ste 1
South Elgin, IL 60177-1646

Mailing address

182 Melrose Ave Ste 1
South Elgin, IL 60177-1646
Phone (847) 214-3633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061130000126 IL Part A Provider - Home Health Agency 4880692862 Practice locations: South Elgin, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013929124. Details of each certification follow.

Home health agency certification: CCN 147933

Legal name
CARE FOR LIFE HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 9, 2007
Last certification
Feb 11, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 20, 2006 in IL
Enrollment address
182 W Melrose Ave
Ste 1
South Elgin, IL 60177-1646
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care for Life Home HealthCCN 147933 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 9, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1710 N Randall Rd
Ste 170
Elgin, IL 60123
Phone (847) 201-2159

2050 Larkin Ave
Ste 201
Elgin, IL 60123
Phone (847) 214-3633

2250 Point Blvd
Ste 115
Elgin, IL 60123
Phone (847) 214-3633

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Edgar Pe Individual 5% Or Greater Direct Ownership Interest Jan 20, 2006
W-2 Managing Employee Jan 20, 2006
Ben Aguilar Individual 5% Or Greater Direct Ownership Interest Jan 20, 2006
W-2 Managing Employee Jan 20, 2006
Ramon Pacheco Individual 5% Or Greater Direct Ownership Interest Jan 20, 2006
W-2 Managing Employee Jan 20, 2006
Mia Pacheco Individual 5% Or Greater Direct Ownership Interest Jan 20, 2006
W-2 Managing Employee Jan 20, 2006

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1013929124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 MELROSE AVE STE 1",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771646",
            "telephone_number": "847-214-3633",
            "fax_number": "847-214-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 MELROSE AVE STE 1",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771646",
            "telephone_number": "847-214-3633",
            "fax_number": "847-214-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR LIFE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "MIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-624-2594",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.