Good Heart Home Care,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1764072 Issued in IL

Legal business name

GOOD HEART HOME CARE,INC.

Practice address

5901 N Cicero Ave Ste 610
Chicago, IL 60646-5721

Phone

(847) 635-0500

Fax

(847) 635-7341

NPI assigned

Sep 17, 2006

Last updated

Nov 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bernadette Dahilig Pingue

Title

Administrator

Phone

(847) 635-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043317746. Details of each certification follow.

• CCN 147817 Home health agency · Active · Details

Home health agency certification: CCN 147817

Legal name

GOOD HEART HOME CARE,INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 4, 2005

Last certification

Oct 25, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 18, 2004 in IL

Enrollment address

5901 N Cicero Ave
Ste 610
Chicago, IL 60646-5721

Listed as

Good Heart Home Health Care, Inc.CCN 147817 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Aug 4, 2005

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.

Affiliated clinicians 4

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

• Jose Mario R. Flores, MD

  • Family Medicine Physician
  • Oak Forest, IL
  • NPI 1568530400

  Home health agency

  Care Compare affiliation
• Matthew J Frazier, D.O.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1992931661

  Home health agency

  Care Compare affiliation
• Olubunmi Victoria Ibitola, FNP

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1356086441

  Home health agency

  Care Compare affiliation
• Muhammad Salman Rais

  • Internal Medicine Physician
  • Dewitt, MI
  • NPI 1760640940

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1043317746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE STE 610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465721",
            "telephone_number": "847-635-0500",
            "fax_number": "847-635-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE STE 610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465721",
            "telephone_number": "847-635-0500",
            "fax_number": "847-635-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD HEART HOME CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "PINGUE",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "DAHILIG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-635-0500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1764072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Gonzalez, PH.D
• Armand A Gonzalzles, M.D.
• Jennifer Gooch
• Lindsey Good Aleman, M.H.H.S. CCC-SLP
• Good Chat Therapy
• Good Karma Therapy, LLC
• Good Morning Clinic
• Good Night Sleep Treatment, LLC
• Good Samaritan Community Services
• Good Shepherd Healthcare LLC

• 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 Nov 7, 2022; 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.