Organization Active NPI

Amicus Home Health, LLC

  • Home Health Agency
  • Arlington Heights, IL
National Provider Identifier
1043843576
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMICUS HOME HEALTH, LLC
Practice address
3345 N Arlington Heights Rd Ste M
Arlington Heights, IL 60004-1591
Phone
(224) 567-8284
Fax
(224) 220-9859
NPI assigned
Feb 12, 2020
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Ilze LiepinsNPI 1336166164
Title
President
Phone
(847) 877-2191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3345 N Arlington Heights Rd Ste M
Arlington Heights, IL 60004-1591

Mailing address

3345 N Arlington Heights Rd Ste M
Arlington Heights, IL 60004-1591
Phone (224) 567-8284

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200416001305 IL Part A Provider - Home Health Agency 7618307505 Practice locations: Arlington Heights, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043843576. Details of each certification follow.

Home health agency certification: CCN 148380

Legal name
AMICUS HOME HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 20, 2020
Last certification
Jul 20, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 4, 2019 in IL
Enrollment address
3345 N Arlington Heights Rd
Ste M
Arlington Heights, IL 60004-1591
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amicus Home Health LLCCCN 148380 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jul 20, 2020
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
14D2179252Amicus Home Health, L L C3345 N Arlington Heights Rd - Ste M, Arlington Heights, IL 60004Certificate of waiverFeb 18, 2028

National Provider Directory

National Provider Directory

Locations

3345 N Arlington Heights Rd
Ste M
Arlington Heights, IL 60004
Phone (224) 567-8284

812 N Main St
Glen Ellyn, IL 60137

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
Ilze Liepins Individual 5% Or Greater Direct Ownership Interest Mar 4, 2019 50%
Corporate Officer Mar 4, 2019 50%
Operational/Managerial Control Mar 4, 2019 50%
Ivanna Slyuzar-Kondratyk Individual 5% Or Greater Direct Ownership Interest Mar 4, 2019 50%
Corporate Officer Mar 4, 2019 50%
Operational/Managerial Control Mar 4, 2019 50%

Practitioners & affiliated clinicians

Practitioners 1

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1043843576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 N ARLINGTON HEIGHTS RD STE M",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041591",
            "telephone_number": "224-567-8284",
            "fax_number": "224-220-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 N ARLINGTON HEIGHTS RD STE M",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041591",
            "telephone_number": "224-567-8284",
            "fax_number": "224-220-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICUS HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "LIEPINS",
        "authorized_official_first_name": "ILZE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-877-2191"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.