Homestead Health Care Services, L.L.C

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOMESTEAD HEALTH CARE SERVICES, L.L.C

Practice address

3605 Woodhead Dr Ste 105a
Northbrook, IL 60062-1850

Phone

(847) 715-9191

Fax

(847) 919-4764

NPI assigned

Feb 10, 2021

Organization subpart

No

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

Authorized official

Name

Hassan Nkulabi

Title

Administrator

Phone

(847) 715-9191

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148405

Legal name

HOMESTEAD HEALTH CARE SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 2, 2023

Last certification

Apr 27, 2023

Organization structure

LLCProprietary

Incorporated

Aug 19, 2019 in IL

Enrollment address

3605 Woodhead Dr
Ste 105a
Northbrook, IL 60062-1850

Listed as

Homestead Health Care Services, LLCCCN 148405

Overall star rating

5 of 5

Ownership

-

Certified

May 2, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Affiliated clinicians 4

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

• Eric J Chuang, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1124140207

  Home health agency

  Care Compare affiliation
• Ajay A Madhani, MD

  • Hospitalist Physician
  • Buffalo Grove, IL
  • NPI 1841271947

  Home health agency

  Care Compare affiliation
• Steven M Witzel, MD

  • Internal Medicine Physician
  • Vernon Hills, IL
  • NPI 1922064641

  Home health agency

  Care Compare affiliation
• Chimnoya N Nwagwu-Youlo, MD

  • Hospitalist Physician
  • Rolla, MO
  • NPI 1881910487

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1063004091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR STE 105A",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621850",
            "telephone_number": "847-715-9191",
            "fax_number": "847-919-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR STE 105A",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621850",
            "telephone_number": "847-715-9191",
            "fax_number": "847-919-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HEALTH CARE SERVICES, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "NKULABI",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-715-9191"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William C Holohan, D.D.S.
• Ilene Holt-Turner, PH.D.
• Home Base Medical, S.C.
• Home Dialysis of Illinois LLC
• Homestead Careride LLC
• Homestead Home Care Agency, L.L.C.
• Michelle Marie Hommert-Helm, MSW, CADC, LCSW
• Adam Emil Honecker, LCSW
• Amy Hong
• Jianrong Hong

• All providers in Northbrook, IL
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.