Active NPI
Deluxe Home Health Care LLC
- Home Health Agency
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DELUXE HOME HEALTH CARE LLC
- Practice address
- 6800 Main St
Suite 020
Downers Grove, IL 60516-3493 - Phone
- (630) 310-8696
- Fax
- (815) 550-8548
- NPI assigned
- Nov 15, 2010
- 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
- Juanita Macklin
- Title
- Administrator
- Phone
- (630) 963-8696
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6800 Main St
Suite 020
Downers Grove, IL 60516-3493
Mailing address
6800 Main St
Suite 020
Downers Grove, IL 60516-3493
Phone (630) 310-8696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110607000189 | IL | Part A Provider - Home Health Agency | 3971780685 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elgin, IL |
Home health agency certification: CCN 148286
- Legal name
- DELUXE HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 25, 2011
- Last certification
- Nov 20, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- May 3, 2010 in IL
- Enrollment address
- 415 Airport Rd
Elgin, IL 60123-9356
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Deluxe Home Health Care, LLC
- Ownership
- Proprietary
- Certified
- Oct 25, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
415 Airport Rd
Elgin, IL 60123
Phone (630) 963-8696
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Juanita Macklin | 5% Or Greater Direct Ownership Interest | Apr 25, 2017 | 100% |
| Corporate Officer | Apr 25, 2017 | 100% | |
| W-2 Managing Employee | Apr 25, 2017 | 100% | |
| Operational/Managerial Control | Apr 25, 2017 | 100% | |
| Patrick Cadet | 5% Or Greater Direct Ownership Interest | May 4, 2022 | 34% |
| W-2 Managing Employee | May 4, 2022 | ||
| Shatawn Philidor | 5% Or Greater Direct Ownership Interest | May 4, 2022 | 33% |
| Patrice Cadet | 5% Or Greater Direct Ownership Interest | May 4, 2022 | 33% |
| Ashleee Gillespie | W-2 Managing Employee | Apr 25, 2017 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1851173587
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1289779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495670400000",
"number": "1154622637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 MAIN ST",
"address_2": "SUITE 020",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605163493",
"telephone_number": "630-310-8696",
"fax_number": "815-550-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 MAIN ST",
"address_2": "SUITE 020",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605163493",
"telephone_number": "630-310-8696",
"fax_number": "815-550-8548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELUXE HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-15",
"last_updated": "2017-05-25",
"status": "A",
"authorized_official_last_name": "MACKLIN",
"authorized_official_first_name": "JUANITA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "630-963-8696"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.