Care for Life Home Health Inc.
Organization Active NPI Home Health Agency · South Elgin, IL
NPI 1013929124 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1013929124
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1010550 (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
- Organization subpart
- No
Authorized official
- Name
- Mrs. Mia Pacheco, R.N.
- Title
- President
- Phone
- (847) 624-2594
Member organizations 1
Affiliated clinicians 10
-
Adam Goldkind, DPM
-
Syed Asif Hussain, D.P.M
-
Dinora Ingberman, MD
-
Poonam D Joshi, M.D.
-
Paul R Lucas, DPM, FACFAS
-
Brian Medernach, BRIAN MEDERNACH
-
Daniel Lee Reed, DPM
-
Richard Viglione, MD
-
Sanjay Yadla, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Care for Life Home Health
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Mar 9, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- Corporation · Proprietary
- Incorporated
- Jan 20, 2006 in IL
- Enrollment address
- 182 W Melrose Ave
Ste 1
South Elgin, IL 60177-1646
All disclosed owners & managing parties 4
| Name | Role | Since | Share |
|---|---|---|---|
| Edgar Pe |
5% Or Greater Direct Ownership Interest | Jan 20, 2006 | |
| W-2 Managing Employee | Jan 20, 2006 | ||
| Ben Aguilar |
5% Or Greater Direct Ownership Interest | Jan 20, 2006 | |
| W-2 Managing Employee | Jan 20, 2006 | ||
| Ramon Pacheco |
5% Or Greater Direct Ownership Interest | Jan 20, 2006 | |
| W-2 Managing Employee | Jan 20, 2006 | ||
| Mia Pacheco |
5% Or Greater Direct Ownership Interest | Jan 20, 2006 | |
| W-2 Managing Employee | Jan 20, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061130000126 | IL | Part a Provider - Home Health Agency | 4880692862 | Practice locations: South Elgin, IL |
National Provider Directory
Locations
2050 Larkin Ave
Ste 201
Elgin, IL 60123
Phone (847) 214-3633
2250 Point Blvd
Ste 115
Elgin, IL 60123
Phone (847) 214-3633
1710 N Randall Rd
Ste 170
Elgin, IL 60123
Phone (847) 201-2159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010550 | IL | Yes |
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
Other providers in South Elgin, IL
- Maria de la Luz Campos
- Michael F Cannonie
- Anna Dac Cao
- Cardiology Clinics of America, LLC
- Care for Life Home Care Services
- Care for Life Home Nursing Inc
- Care for Life Hospice Care Inc
- Caring Hands Rehab & Wellness LLC
- Karen D Casciaro
- Cepamerica Illinois LLP
All providers in South Elgin, IL · Home Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.