Active NPI
DMJ Home Health Services, Inc
- Home Health Agency
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010732
- Legal business name
- DMJ HOME HEALTH SERVICES, INC
- Practice address
- 2720 E. New York St.
Suite 120
Aurora, IL 60502 - Phone
- (847) 423-2667
- Fax
- (866) 253-2315
- NPI assigned
- May 26, 2007
- Last updated
- Apr 29, 2022
- 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
- Heather Wallace
- Title
- Administrator
- Phone
- (847) 423-2667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010732 | IL | Primary |
Addresses
Primary practice location
2720 E. New York St.
Suite 120
Aurora, IL 60502
Mailing address
2720 E. New York St.
Suite 120
Aurora, IL 60502
Phone (847) 423-2667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011769 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dmjhomehealthservices.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121126000129 | IL | Part A Provider - Home Health Agency | 9537253562 | Practice locations: Aurora, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1154532315. Details of each certification follow.
Home health agency certification: CCN 147997
- Legal name
- DMJ HOME HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 20, 2008
- Last certification
- Aug 20, 2008
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Oct 6, 2006 in IL
- Enrollment address
- 2720 E New York Street
Suite 120
Aurora, IL 60502
Care Compare: Home health agency
Medicare Care Compare- Listed as
- DMJ Home Health Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 20, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2720 E New York St
Ste 120
Aurora, IL 60502
Phone (847) 423-2667
6731 N Lincoln Ave
Ste 100
Lincolnwood, IL 60712
Phone (708) 445-0056
6142 Roosevelt Rd
Ste 104
Oak Park, IL 60304
Phone (708) 445-0056
910 S Grove Ave
Oak Park, IL 60304
Phone (708) 445-0056
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 |
|---|---|---|---|
| Sanjay a Thakkar | 5% Or Greater Direct Ownership Interest | Jun 30, 2014 | 50% |
| Corporate Officer | Jun 30, 2014 | 50% | |
| Corporate Director | Jun 30, 2014 | 50% | |
| Sultan Taher | 5% Or Greater Direct Ownership Interest | Jun 30, 2014 | 50% |
| Corporate Officer | Jun 30, 2014 | 50% | |
| Corporate Director | Jun 30, 2014 | 50% | |
| W-2 Managing Employee | Jun 1, 2014 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Yorkville, IL
- NPI 1073548483
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Des Plaines, IL
- NPI 1477377646
Affiliated clinicians 112
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": "1180137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651190400000",
"number": "1154532315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 E. NEW YORK ST.",
"address_2": "SUITE 120",
"city": "AURORA",
"state": "IL",
"postal_code": "60502",
"telephone_number": "847-423-2667",
"fax_number": "866-253-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 E. NEW YORK ST.",
"address_2": "SUITE 120",
"city": "AURORA",
"state": "IL",
"postal_code": "60502",
"telephone_number": "847-423-2667",
"fax_number": "866-253-2315"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DMJ HOME HEALTH SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-26",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-423-2667"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011769",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dmjhomehealthservices.com",
"affiliation": "N",
"address_1": "2720 E. New york St.",
"address_2": "Suite 120",
"city": "Aurora",
"state": "IL",
"country_code": "US",
"postal_code": "60502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.