Nos Healthcare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1008283 Issued in IL

Legal business name

NOS HEALTHCARE INC.

Practice address

4N150 Wood Dale Rd
Addison, IL 60101-2965

Phone

(630) 941-3683

Fax

(630) 501-0958

NPI assigned

Aug 11, 2006

Last updated

Jan 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Norma Stavropoulos

Title

Administrator

Phone

(630) 941-3683

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174534333. Details of each certification follow.

• CCN 147674 Home health agency · Active · Details

Home health agency certification: CCN 147674

Legal name

NOS HEALTHCARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 19, 2006

Last certification

Mar 22, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Nov 5, 2003 in IL

Enrollment address

4N150 Wood Dale Rd
Addison, IL 60101-2965

Listed as

N.O.S. Healthcare Inc.CCN 147674 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Sep 19, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1174534333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4N150 WOOD DALE RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012965",
            "telephone_number": "630-941-3683",
            "fax_number": "630-501-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4N150 WOOD DALE RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012965",
            "telephone_number": "630-941-3683",
            "fax_number": "630-501-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOS HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "STAVROPOULOS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-941-3683",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1008283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1008283",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Addison, IL
• Providers in Addison, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.

Verify at the official NPI Registry.