Organization Active NPI

Total Health Home Care Services, Inc.

  • Home Health Agency
  • Flossmoor, IL
National Provider Identifier
1174706188
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TOTAL HEALTH HOME CARE SERVICES, INC.
Practice address
19150 Kedzie Ave.
Suite 202
Flossmoor, IL 60422-1056
Phone
(708) 799-6022
Fax
(708) 799-6322
NPI assigned
Dec 12, 2007
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Blessing Wachukwu
Title
Director of Nursing
Phone
(708) 543-9321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

19150 Kedzie Ave.
Suite 202
Flossmoor, IL 60422-1056

Mailing address

19150 Kedzie Ave.
Suite 202
Flossmoor, IL 60422-1056
Phone (708) 799-6022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081208000299 IL Part A Provider - Home Health Agency 4183785256 Practice locations: Flossmoor, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174706188. Details of each certification follow.

Home health agency certification: CCN 148157

Legal name
TOTAL HEALTH HOME CARE SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 2010
Last certification
Feb 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 4, 2007 in IL
Enrollment address
19150 S Kedzie Avenue
Suite 202
Flossmoor, IL 60422-1056

Care Compare: Home health agency

Medicare Care Compare
Listed as
Total Health Home Care Services, IncCCN 148157 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jun 11, 2010
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

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
Rulloux Limage Individual 5% Or Greater Direct Ownership Interest55 Aug 19, 2019
Jean Renal Constant Individual 5% Or Greater Direct Ownership Interest Aug 19, 2019 45%
Operational/Managerial Control Aug 19, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1174706188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE.",
            "address_2": "SUITE 202",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221056",
            "telephone_number": "708-799-6022",
            "fax_number": "708-799-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19150 KEDZIE AVE.",
            "address_2": "SUITE 202",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221056",
            "telephone_number": "708-799-6022",
            "fax_number": "708-799-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH HOME CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "WACHUKWU",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "708-543-9321"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.