Chicago Midwest Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010677 Issued in IL

Legal business name

CHICAGO MIDWEST HOME HEALTH INC.

Practice address

2454 E Dempster St Ste 151
Des Plaines, IL 60016-5315

Phone

(847) 784-9966

Fax

(847) 305-3002

NPI assigned

Aug 9, 2007

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdul Razzaq Siddiq

Title

Secretory

Phone

(630) 890-3275

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144411562. Details of each certification follow.

• CCN 148063 Home health agency · Active · Details

Home health agency certification: CCN 148063

Legal name

CHICAGO MIDWEST HOME HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 20, 2009

Last certification

Apr 20, 2009

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 18, 2016 in IL

Enrollment address

2454 E Dempster St
Ste 151
Des Plaines, IL 60016-5315

Listed as

Chicago Midwest Home Health, IncCCN 148063 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Apr 20, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ryan Kukor, M.D.

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1457649121

  Home health agency

  Care Compare affiliation
• Christian B Oyibe

  • Nurse Practitioner
  • Orland Park, IL
  • NPI 1528423019

  Home health agency

  Care Compare affiliation
• Nicolas Thomas, APRN

  • Family Nurse Practitioner
  • Paris, IL
  • NPI 1235892431

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1144411562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST STE 151",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165315",
            "telephone_number": "847-784-9966",
            "fax_number": "847-305-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST STE 151",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165315",
            "telephone_number": "847-784-9966",
            "fax_number": "847-305-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MIDWEST HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "SIDDIQ",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "RAZZAQ",
        "authorized_official_title_or_position": "SECRETORY",
        "authorized_official_telephone_number": "630-890-3275"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSE",
            "identifier": "1010677",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "148063",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.