Active NPI
Dependable Nursing Home Health Services Inc
- Home Health Agency
- Downers Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DEPENDABLE NURSING HOME HEALTH SERVICES INC
- Practice address
- 1319 Butterfield Rd Ste 520
Downers Grove, IL 60515-5651 - Phone
- (847) 565-4150
- Fax
- (847) 565-4151
- NPI assigned
- Aug 28, 2006
- 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
- Nashat El-Badawi
- Title
- President
- Phone
- (847) 565-4150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1319 Butterfield Rd Ste 520
Downers Grove, IL 60515-5651
Mailing address
1319 Butterfield Rd Ste 520
Downers Grove, IL 60515-5651
Phone (847) 565-4150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011822 | Other | IL | IDPH 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 |
|---|---|---|---|---|
| O20120323000094 | IL | Part A Provider - Home Health Agency | 9335309616 | Practice locations: Downers Grove, IL |
Home health agency certification: CCN 147624
- Legal name
- DEPENDABLE NURSING HOME HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 11, 1995
- Last certification
- Aug 2, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 12, 1994 in IL
- Enrollment address
- 1319 Butterfield Rd
Ste 520
Downers Grove, IL 60515-5651
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Dependable Nursing Home Health Services, Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 11, 1995
- 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 |
|---|---|---|---|
| 14D0899001 | Dependable Nursing Home Health Services, Inc | Certificate of waiver | Mar 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
1319 Butterfield Rd
Ste 520
Downers Grove, IL 60515
Phone (847) 565-4150
290 Town Center Ln
Ste B1
Glendale Heights, IL 60139
Phone (847) 565-4150
4656 W Touhy Ave
Lincolnwood, IL 60712
Phone (773) 412-6123
17W775 Butterfield Rd
Ste 104
Oakbrook Terrace, IL 60181
Phone (847) 565-4150
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Michelle Canet | 5% Or Greater Direct Ownership Interest | Feb 8, 2022 | 25% |
| Corporate Officer | Feb 8, 2022 | ||
| Nashat Elbadawi | 5% Or Greater Direct Ownership Interest | Feb 8, 2022 | 25% |
| Corporate Officer | Feb 8, 2022 | ||
| Melissa El-Badawi | 5% Or Greater Direct Ownership Interest | Feb 8, 2022 | 25% |
| Corporate Officer | Feb 8, 2022 | 25% | |
| Robert Raymond B Soriano | 5% Or Greater Direct Ownership Interest | Feb 8, 2022 | 25% |
| Corporate Officer | Feb 8, 2022 | 25% | |
| W-2 Managing Employee | Feb 8, 2022 | 25% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Oak Lawn, IL
- NPI 1558833699
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728172800000",
"number": "1164530424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 BUTTERFIELD RD STE 520",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155651",
"telephone_number": "847-565-4150",
"fax_number": "847-565-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 BUTTERFIELD RD STE 520",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605155651",
"telephone_number": "847-565-4150",
"fax_number": "847-565-4151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPENDABLE NURSING HOME HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2024-10-06",
"certification_date": "2024-10-06",
"status": "A",
"authorized_official_last_name": "EL-BADAWI",
"authorized_official_first_name": "NASHAT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-565-4150"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDPH LICENSE",
"identifier": "1011822",
"state": "IL"
}
],
"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 Oct 6, 2024; 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.