Organization Active NPI

Volnik Home Healthcare Inc.

  • Home Health Agency
  • Skokie, IL
National Provider Identifier
1174846943
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011089 Issued in IL
Legal business name
VOLNIK HOME HEALTHCARE INC.
Practice address
8401 Crawford Ave
Ste 105
Skokie, IL 60076-2154
Phone
(847) 423-2189
Fax
(847) 779-3081
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Armida Pantola-Fabella
Title
Administrator
Phone
(847) 423-2189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011089 IL Primary

Addresses

Primary practice location

8401 Crawford Ave
Ste 105
Skokie, IL 60076-2154

Mailing address

8401 Crawford Ave
Ste 105
Skokie, IL 60076-2154
Phone (847) 423-2189

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100716000620 IL Part A Provider - Home Health Agency 8224160809 Practice locations: Skokie, IL

Home health agency certification: CCN 148339

Legal name
VOLNIK HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 10, 2012
Last certification
Dec 10, 2012
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Nov 12, 2009 in IL
Enrollment address
8430 Gross Point Rd
Ste 104
Skokie, IL 60077-2034

Care Compare: Home health agency

Medicare Care Compare
Listed as
Volnik Home Healthcare, IncCCN 148339
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Dec 10, 2012
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
14D2004322Volnik Home Healthcare Inc8430 Gross Point Rd - Ste 104, Skokie, IL 60077Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Locations

5875 N Lincoln Ave
Ste No
Chicago, IL 60659
Phone (773) 878-1170

8401 Crawford Ave
Ste 105
Skokie, IL 60076
Phone (847) 423-2189

5200 Main St
Ste 206
Skokie, IL 60077
Phone (847) 423-2189

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Muhammad a Lodhi Individual 5% Or Greater Indirect Ownership Interest Jul 24, 2018 50%
Corporate OfficerCeo Jul 24, 2018 100%
Corporate DirectorPresident/Administrator Jul 24, 2018 50%
W-2 Managing EmployeeAdministrator Jul 24, 2018 100%
Operational/Managerial ControlAdministrator Jul 24, 2018 100%
Lydie Toussaint Desronvil Individual Corporate Director May 17, 2010
W-2 Managing Employee May 17, 2010
US Health Solutions LLC Organization, Skokie, IL Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 24, 2018 100%
Nabeel Saiq Individual 5% Or Greater Indirect Ownership Interest Jul 24, 2018 50%
Corporate OfficerVice-President Jul 24, 2018 50%
Armida Pantola - Fabella Individual W-2 Managing Employee Mar 1, 2012

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1174846943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE",
            "address_2": "STE 105",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2189",
            "fax_number": "847-779-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 CRAWFORD AVE",
            "address_2": "STE 105",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762154",
            "telephone_number": "847-423-2189",
            "fax_number": "847-779-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLNIK HOME HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "PANTOLA-FABELLA",
        "authorized_official_first_name": "ARMIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-423-2189"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.