Active NPI
Nurture Care Home Health Inc.
- Home Health Agency
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011034
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011034 | Other | IL | HOME HEALTH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- 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
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2009425 | Nurture Care Home Health | Certificate of waiver | Jul 1, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| 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% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Matteson, IL
- NPI 1457388928
Home health agency
-
- Cardiovascular Disease Physician
- La Grange, IL
- NPI 1861501728
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.