NPIMap

Organization Active NPI

Aledli Home Health Care Inc.

  • Home Health Agency
  • Hinsdale, IL
National Provider Identifier
1164724209
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011368 Issued in IL
Legal business name
ALEDLI HOME HEALTH CARE INC.
Practice address
628 W 55TH St
Hinsdale, IL 60521-4357
Phone
(630) 323-0128
Fax
(866) 314-7043
NPI assigned
Nov 23, 2010
Last updated
Nov 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Authorized official

Name
Rose S Alcantara
Title
Administrator
Phone
(815) 212-1952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011368 IL Primary

Addresses

Primary practice location

628 W 55TH St
Hinsdale, IL 60521-4357

Mailing address

628 W 55TH St
Hinsdale, IL 60521-4357
Phone (630) 323-0128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000289 IL Part A Provider - Home Health Agency 2365625795 Practice locations: Clarendon Hills, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164724209. Details of each certification follow.

Home health agency certification: CCN 148315

Legal name
ALEDLI HOME HEALTH CARE , INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 17, 2012
Last certification
Mar 11, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 5, 2010 in IL
Enrollment address
219 55TH St
Ste 2015
Clarendon Hills, IL 60514-1596

Care Compare: Home health agency

Medicare Care Compare
Listed as
Aledli Home Healthcare, IncCCN 148315 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 17, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

219 55th St
Ste 2015
Clarendon Hills, IL 60514
Phone (630) 323-0128

219 55th St
Ste 205
Clarendon Hills, IL 60514
Phone (630) 323-0128

219 55th St
Ste 304
Clarendon Hills, IL 60514
Phone (630) 323-0128

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.

NameRoleSinceShare
Rose Alcantara Individual 5% Or Greater Direct Ownership Interest Dec 27, 2014 50%
General Partnership Interest Jan 31, 2011
Corporate Director Jan 31, 2011
W-2 Managing Employee Jan 31, 2011
Anna Edrada Individual General Partnership Interest Feb 25, 2013 38%
Corporate Officer Feb 25, 2013 38%
Corporate Director Feb 25, 2013 38%

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1164724209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 W 55TH ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214357",
            "telephone_number": "630-323-0128",
            "fax_number": "866-314-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 W 55TH ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214357",
            "telephone_number": "630-323-0128",
            "fax_number": "866-314-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEDLI HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-212-1952"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.