Amicus Home Health, LLC
Organization Active NPI Home Health Agency · Arlington Heights, IL
NPI 1043843576 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1043843576
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 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
- Organization subpart
- No
Authorized official
- Name
- Ilze Liepins
- Title
- President
- Phone
- (847) 877-2191
Practitioners 1
-
Ilze Liepins, DC
Affiliated clinicians 4
-
Ajith R Castelino, M.D.
-
Iouri Melnik, M.D.
-
Galina Sabir, MD
Medicare Care Compare: Home health agency
- Listed as
- Amicus Home Health LLC
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Jul 20, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2179252 | Amicus Home Health, L L C | Certificate of waiver | Feb 18, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- LLC · Proprietary
- Incorporated
- Mar 4, 2019 in IL
- Enrollment address
- 3345 N Arlington Heights Rd
Ste M
Arlington Heights, IL 60004-1591
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Ilze Liepins |
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 |
5% Or Greater Direct Ownership Interest | Mar 4, 2019 | 50% |
| Corporate Officer | Mar 4, 2019 | 50% | |
| Operational/Managerial Control | Mar 4, 2019 | 50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200416001305 | IL | Part a Provider - Home Health Agency | 7618307505 | Practice locations: Arlington Heights, IL |
National Provider Directory
Locations
3345 N Arlington Heights Rd
Ste M
Arlington Heights, IL 60004
Phone (224) 567-8284
3345 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (847) 577-5774
812 N Main St
Glen Ellyn, IL 60137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
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
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- Hafsa Amin
- Amphora Counseling, PLLC
- Amy J. Wilder, LCSW, Inc.
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All providers in Arlington Heights, IL · Home Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.