NPIMap

Organization Active NPI

Alc Home Health Care, Inc.

Doing business as ALC Home Health

  • Home Health Agency
  • Oak Brook, IL
National Provider Identifier
1023047750
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010612 Issued in IL
Legal business name
ALC HOME HEALTH CARE, INC.
Doing business as
ALC Home Health
Practice address
600 Enterprise Dr Ste 208
Oak Brook, IL 60523-1946
Phone
(630) 368-1102
Fax
(630) 368-1104
NPI assigned
Jul 3, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Mr. Anthony Pasqual Siciliano
Title
President Ceo Admin
Phone
(630) 368-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010612 IL Primary

Addresses

Primary practice location

600 Enterprise Dr Ste 208
Oak Brook, IL 60523-1946

Mailing address

600 Enterprise Dr Ste 208
Oak Brook, IL 60523-1946
Phone (630) 368-1102

Other names 1

  • ALC Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060807000357 IL Part A Provider - Home Health Agency 3971506221 Practice locations: Elmhurst, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023047750. Details of each certification follow.

Home health agency certification: CCN 147911

Legal name
ALC HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 15, 2006
Last certification
Jun 11, 2011
Ownership / control type
Proprietary
Organization structure
OtherProprietary
Incorporated
Jan 6, 2006 in IL
Enrollment address
360 W Butterfield Rd
Ste 325
Elmhurst, IL 60126-5088

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alc Home Health Care IncCCN 147911 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 15, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, 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
14D1056443A L C Home Health Care Inc600 Enterprise Dr - Ste 208, Oak Brook, IL 60523Certificate of waiverJul 16, 2028

National Provider Directory

National Provider Directory

Locations

477 E Butterfield Rd
Ste 208
Lombard, IL 60148
Phone (630) 368-1102

477 E Butterfield Rd
Ste 305
Lombard, IL 60148
Phone (630) 368-1102

1010 Jorie Blvd
Ste 124
Oak Brook, IL 60523
Phone (630) 368-1102

Ownership & 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.

NameRoleSinceShare
Cinthia Nieves Individual Corporate Director Aug 11, 2008
W-2 Managing Employee Aug 11, 2008
Anthony Siciliano Individual 5% Or Greater Direct Ownership Interest Jun 25, 2006 100%
Corporate Director Jun 25, 2006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 17

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

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1023047750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 208",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231946",
            "telephone_number": "630-368-1102",
            "fax_number": "630-368-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ENTERPRISE DR STE 208",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231946",
            "telephone_number": "630-368-1102",
            "fax_number": "630-368-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALC HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "SICILIANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PASQUAL",
        "authorized_official_title_or_position": "PRESIDENT CEO ADMIN",
        "authorized_official_telephone_number": "630-368-1102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALC Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALC Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.