Organization Active NPI

Nurture Care Home Health Inc.

  • Home Health Agency
  • Skokie, IL
National Provider Identifier
1114255759
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011034 Issued in IL
Legal business name
NURTURE CARE HOME HEALTH INC.
Practice address
8707 Skokie Blvd Ste 205
Skokie, IL 60077-5459
Phone
(847) 285-1802
Fax
(847) 466-7249
NPI assigned
Nov 19, 2009
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Zeenat Mohammed
Title
President
Phone
(630) 770-0684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011034 IL Primary

Addresses

Primary practice location

8707 Skokie Blvd Ste 205
Skokie, IL 60077-5459

Mailing address

8707 Skokie Blvd Ste 205
Skokie, IL 60077-5459
Phone (847) 285-1802

Other identifiers 1

IdentifierTypeStateIssuer
1011034OtherILHOME HEALTH LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100908000726 IL Part A Provider - Home Health Agency 0446375844 Practice locations: Skokie, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114255759. Details of each certification follow.

Home health agency certification: CCN 148254

Legal name
NURTURE CARE HOME HEALTH INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 1, 2011
Last certification
Jun 1, 2011
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 5, 2008 in IL
Enrollment address
8707 Skokie Blvd
Ste 205
Skokie, IL 60077-5459

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nurture Care Home Health, IncCCN 148254 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 1, 2011
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
14D2009425Nurture Care Home Health8707 Skokie Blvd - #LL20, Skokie, IL 60077Certificate of waiverJul 1, 2026

National Provider Directory

National Provider Directory

Locations

125 E Lake St
Ste 107
Bloomingdale, IL 60108
Phone (630) 351-8940

8707 Skokie Blvd
Ste 205
Skokie, IL 60077
Phone (847) 285-1802

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
Mohammed Ahmed Individual 5% Or Greater Indirect Ownership Interest Jan 9, 2020 50%
Corporate Officer Jan 9, 2020 50%
Corporate Director Jan 9, 2020 50%
W-2 Managing EmployeeCo Jan 9, 2020 50%
Operational/Managerial Control Jan 9, 2020
Pall Gloabl US LLC Organization, Lincolnwood, IL LLC 5% Or Greater Direct Ownership Interest Jan 9, 2020 100%
Operational/Managerial Control Jan 9, 2020 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": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1114255759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD STE 205",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600775459",
            "telephone_number": "847-285-1802",
            "fax_number": "847-466-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 SKOKIE BLVD STE 205",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600775459",
            "telephone_number": "847-285-1802",
            "fax_number": "847-466-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE CARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "ZEENAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-770-0684"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LICENSE",
            "identifier": "1011034",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.