NE Healthcare Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011788 Issued in IL

Legal business name

NE HEALTHCARE SERVICES, INC

Practice address

1029 N Sacramento Ave
1St FL
Chicago, IL 60622-2746

Phone

(777) 329-2889

Fax

(773) 252-3060

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Monette T Tafalla, A.A., B.S.B.A

Title

Administrator

Phone

(773) 292-8891

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Greater Chicago Home Health LLC Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148230

Legal name

NE HEALTHCARE SERVICES INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 26, 2011

Last certification

Feb 26, 2011

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Feb 26, 2011 in IL

Enrollment address

4131 W Belmont Ave
Ste D
Chicago, IL 60641-4625
HHA Branch

Listed as

NE Healthcare Services, IncCCN 148230

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Feb 26, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Humboldt Park Health

  • Psychiatric Hospital Unit
  • Chicago, IL
  • NPI 1013944479

  Member Of

  NPD member

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": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1033445283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 N SACRAMENTO AVE",
            "address_2": "1ST FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222746",
            "telephone_number": "777-329-2889",
            "fax_number": "773-252-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 N SACRAMENTO AVE",
            "address_2": "1ST FL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222746",
            "telephone_number": "777-329-2889",
            "fax_number": "773-252-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NE HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "TAFALLA",
        "authorized_official_first_name": "MONETTE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-292-8891",
        "authorized_official_credential": "A.A., B.S.B.A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010718",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1072972",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Chicago Home Health LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martin Ndabagye, DPT
• Bernard Ndedi, MD
• Michael Ndichuck
• Laura Chelsea Mazudie Ndjonko
• Olivia Ndyabagye, LCSW
• Charles Richard Neach, DDS
• Isabella Marie Neach
• John P. Neafsey, PSY.D.
• Judith Neafsey
• Maura G. Neafsey, LCSW

• Home Health Agency in Chicago, IL
• Providers in Chicago, 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 Aug 6, 2015; 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.