Active NPI
Amicus Home Health, LLC
- Home Health Agency
- Arlington Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilze Liepins
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Incorporated
- Mar 4, 2019 in IL
- Enrollment address
- 3345 N Arlington Heights Rd
Ste M
Arlington Heights, IL 60004-1591
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Amicus Home Health LLC
- Overall star rating
- 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
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2179252 | Amicus Home Health, L L C | Certificate of waiver | Feb 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| 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% |
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.
-
- Internist Chiropractor
- Chicago, IL
- NPI 1336166164
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1760484042
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.