Nurture Care Home Health Inc.
Organization Active NPI Home Health Agency · Skokie, IL
NPI 1114255759 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1114255759
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1011034 (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
- Organization subpart
- No
Authorized official
- Name
- Zeenat Mohammed
- Title
- President
- Phone
- (630) 770-0684
Affiliated clinicians 4
-
Sandeep K. Atwal, APN
-
Taryrsha Davis, APN
-
Frank Howard Parker, M.D.
-
Kathleen A Ward, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Nurture Care Home Health, Inc
- Overall star rating
- ★★☆☆☆ 2 of 5
- Ownership
- Proprietary
- Certified
- Jun 1, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2009425 | Nurture Care Home Health | Certificate of waiver | Jul 1, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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
- Corporation · Proprietary
- Incorporated
- Mar 5, 2008 in IL
- Enrollment address
- 8707 Skokie Blvd
Ste 205
Skokie, IL 60077-5459
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Mohammed Ahmed |
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 Employee |
Jan 9, 2020 | 50% | |
| Operational/Managerial Control | Jan 9, 2020 | ||
| Pall Gloabl US LLC |
5% Or Greater Direct Ownership Interest | Jan 9, 2020 | 100% |
| Operational/Managerial Control | Jan 9, 2020 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100908000726 | IL | Part a Provider - Home Health Agency | 0446375844 | Practice locations: Skokie, IL |
National Provider Directory
Locations
125 E Lake St
Ste 107
Bloomingdale, IL 60108
Phone (630) 351-8940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011034 | IL | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011034 | Other | IL | HOME HEALTH LICENSE |
Other providers in Skokie, IL
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- Carly Novak
- Gary J Novetsky
- Jennifer Anne Novy
- Kimberly Ann Nowak
- Sarah R Nussbaum
- Victor E Nutenko
- Laura Nutini
- Carrie Lynn Nutter
- O & P Home Health Care, Inc.
All providers in Skokie, IL · Home Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.