Organization Active NPI

Ultimate Home Health Care Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1093778599
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ULTIMATE HOME HEALTH CARE INC
Practice address
11070 S Western Ave
Chicago, IL 60643-3928
Phone
(773) 779-3177
Fax
(773) 779-3775
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Mrs. Mabel Osaghae
Title
Excutive Administrator
Phone
(773) 779-3177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

11070 S Western Ave
Chicago, IL 60643-3928

Mailing address

11070 S Western Ave
Chicago, IL 60643-3928
Phone (773) 779-3177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120719000171 IL Part A Provider - Home Health Agency 9032375043 Practice locations: Chicago, IL

Home health agency certification: CCN 147704

Legal name
ULTIMATE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 5, 2000
Last certification
Mar 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 11, 1997 in IL
Enrollment address
11070 S Western Ave
Chicago, IL 60643

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ultimate Home Health Care, IncCCN 147704 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 5, 2000
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
14D0961016Ultimate Home Health Care Inc,the11070 S Western Avenue, Chicago, IL 60643Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Mabel Osaghae Individual 5% Or Greater Direct Ownership InterestManagerial, Director Mar 26, 2012 100%
Corporate OfficerBoard Member President Jan 1, 2009 100%
Corporate DirectorManagerial, Director of Nursing Jan 1, 2009 100%
W-2 Managing EmployeeManagerial Director of Nursing Jan 1, 2009 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1093778599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433928",
            "telephone_number": "773-779-3177",
            "fax_number": "773-779-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433928",
            "telephone_number": "773-779-3177",
            "fax_number": "773-779-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "OSAGHAE",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "EXCUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "773-779-3177",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.