Organization Active NPI

Home Heal Healthcare LLC

  • Home Health Agency
  • Addison, IL
National Provider Identifier
1093537292
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEAL HEALTHCARE LLC
Practice address
240 E Lake St Ste 307
Addison, IL 60101-2874
Phone
(630) 518-4815
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Abid Khan
Title
Administrator
Phone
(630) 656-0779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

240 E Lake St Ste 307
Addison, IL 60101-2874

Mailing address

240 E Lake St Ste 307
Addison, IL 60101-2874
Phone (630) 518-4815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250423001354 IL Part A Provider - Home Health Agency 1658896592 Practice locations: Addison, IL

Home health agency certification: CCN 148428

Legal name
HOME HEAL HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 7, 2025
Last certification
Jul 17, 2025
Organization structure
LLCProprietary
Enrollment address
240 E Lake St
Suite 307 Unit 1-2
Addison, IL 60101-2874
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Heal Healthcare LLCCCN 148428
Ownership
-
Certified
Aug 7, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Root3I Inc Organization, Addison, IL Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 20, 2024 60%
Operational/Managerial Control Jun 20, 2024 100%
Seed9Iq LLC Organization, Austin, TX Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 20, 2024 40%
Abid Khan Individual Corporate OfficerManaging Director Jun 20, 2024 100%
W-2 Managing EmployeeAd; Jun 20, 2024 100%
Operational/Managerial ControlAdministrator Jun 20, 2024 100%

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1093537292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E LAKE ST STE 307",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012874",
            "telephone_number": "630-518-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E LAKE ST STE 307",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012874",
            "telephone_number": "630-518-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-656-0779"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.