Immaculate Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMMACULATE HOME HEALTH, INC.

Practice address

8340 Lincoln Ave
Suite 212
Skokie, IL 60077-2436

Phone

(773) 283-2013

Fax

(773) 283-2069

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Maria Constantino

Title

Administrator

Phone

(773) 283-2013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148303

Legal name

IMMACULATE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 8, 2012

Last certification

May 8, 2012

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 28, 2009 in IL

Enrollment address

8340 Lincoln Ave
Ste 212
Skokie, IL 60077-2462

Listed as

Immaculate Home Health, IncCCN 148303

Ownership

Proprietary

Certified

May 8, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1104127927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772436",
            "telephone_number": "773-283-2013",
            "fax_number": "773-283-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772436",
            "telephone_number": "773-283-2013",
            "fax_number": "773-283-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMACULATE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-283-2013"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.