NPIMap

Organization Active NPI

Meridian Home Health Care Services, Inc.

  • Home Health Agency
  • Libertyville, IL
National Provider Identifier
1073633392
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MERIDIAN HOME HEALTH CARE SERVICES, INC.
Practice address
14045 W Petronella Dr Ste 1a
Libertyville, IL 60048-9652
Phone
(847) 543-0045
Fax
(847) 543-0043
NPI assigned
Mar 30, 2007
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Mrs. Hope E. Montenegro, BSN, RN
Title
Administrator
Phone
(224) 402-3306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

14045 W Petronella Dr Ste 1a
Libertyville, IL 60048-9652

Mailing address

14045 W Petronella Dr Ste 1a
Libertyville, IL 60048-9652
Phone (847) 543-0045

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000694 IL Part A Provider - Home Health Agency 8325133036 Practice locations: Libertyville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073633392. Details of each certification follow.

Home health agency certification: CCN 148006

Legal name
MERIDIAN HOME HEALTH CARE SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 31, 2008
Last certification
Jul 31, 2008
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 4, 2006 in IL
Enrollment address
14045 W Petronella Dr
Ste 1a
Libertyville, IL 60048-9652

Care Compare: Home health agency

Medicare Care Compare
Listed as
Meridian Home Health Care Services, IncCCN 148006 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jul 31, 2008
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
14D1065375Meridian Home Health Care Services Inc14045 Petronella Dr - Ste 1a, Libertyville, IL 60048Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

100 N Atkinson Rd
Ste 107
Grayslake, IL 60030
Phone (847) 543-0045

4 N Deer Point Rd
Ste 1008
Hainesville, IL 60030
Phone (847) 388-6098

4 N Deer Point Rd
Unit 10061008
Hainesville, IL 60030

14045 W Petronella Dr
Ste 1A
Libertyville, IL 60048
Phone (847) 543-0045

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
Hope Montenegro Individual 5% Or Greater Direct Ownership Interest Dec 19, 2024 50%
Corporate Officer Aug 3, 2006
W-2 Managing Employee Jun 8, 2007
Louis Montenegro Individual 5% Or Greater Direct Ownership Interest Dec 19, 2024 50%
Corporate Officer Aug 3, 2006
W-2 Managing Employee Jun 8, 2007

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1073633392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 W PETRONELLA DR STE 1A",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489652",
            "telephone_number": "847-543-0045",
            "fax_number": "847-543-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 W PETRONELLA DR STE 1A",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489652",
            "telephone_number": "847-543-0045",
            "fax_number": "847-543-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN HOME HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "MONTENEGRO",
        "authorized_official_first_name": "HOPE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "224-402-3306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.