Organization Active NPI

Dependable Nursing Home Health Services Inc

  • Home Health Agency
  • Downers Grove, IL
National Provider Identifier
1164530424
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 6, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1011822OtherILIDPH LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Jan 12, 1994 in IL
Enrollment address
1319 Butterfield Rd
Ste 520
Downers Grove, IL 60515-5651
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Dependable Nursing Home Health Services, Inc.CCN 147624
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Aug 11, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0899001Dependable Nursing Home Health Services, Inc1319 Butterfield Rd - Ste 520, Downers Grove, IL 60515Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Michelle Canet Individual 5% Or Greater Direct Ownership Interest Feb 8, 2022 25%
Corporate Officer25 Feb 8, 2022
Nashat Elbadawi Individual 5% Or Greater Direct Ownership Interest Feb 8, 2022 25%
Corporate Officer Feb 8, 2022
Melissa El-Badawi Individual 5% Or Greater Direct Ownership Interest Feb 8, 2022 25%
Corporate OfficerSecretary Feb 8, 2022 25%
Robert Raymond B Soriano Individual 5% Or Greater Direct Ownership Interest Feb 8, 2022 25%
Corporate Officer Feb 8, 2022 25%
W-2 Managing EmployeeTreasurer Feb 8, 2022 25%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "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

Verify at the official NPI Registry.