Northshore Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010519 Issued in IL

Legal business name

NORTHSHORE HOME HEALTH CARE, INC.

Practice address

719 E Golf Rd
Schaumburg, IL 60173-4511

Phone

(847) 490-1112

Fax

(847) 490-1113

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rema Nair, RN

Title

Administrator

Phone

(847) 490-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147917

Legal name

NORTHSHORE HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 5, 2007

Last certification

Mar 7, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 26, 2004 in IL

Enrollment address

127 E Lake St
Ste 302
Bloomingdale, IL 60108-1124

Listed as

Northshore Home Health Care, IncCCN 147917

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Jan 5, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1023152246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 E GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734511",
            "telephone_number": "847-490-1112",
            "fax_number": "847-490-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E GOLF RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734511",
            "telephone_number": "847-490-1112",
            "fax_number": "847-490-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "NAIR",
        "authorized_official_first_name": "REMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-490-1112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "1010519",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Schaumburg, IL
• Providers in Schaumburg, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.

Verify at the official NPI Registry.