Organization Active NPI

Allbest Home Health Care Inc

  • Home Health Agency
  • Countryside, IL
National Provider Identifier
1184606121
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1650976 Issued in IL
Legal business name
ALLBEST HOME HEALTH CARE INC
Practice address
475 W 55TH St
Suite 211
Countryside, IL 60525-3564
Phone
(708) 848-8058
Fax
(708) 848-8727
NPI assigned
Nov 16, 2005
Last updated
Nov 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Miss Maria Lourdes Mendiola Ramirez, RN
Title
Administrator
Phone
(708) 848-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1650976 IL Primary

Addresses

Primary practice location

475 W 55TH St
Suite 211
Countryside, IL 60525-3564

Mailing address

475 W 55TH St
Suite 211
Countryside, IL 60525-3564
Phone (708) 848-8058

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091130000327 IL Part A Provider - Home Health Agency 1254470578 Practice locations: Countryside, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1184606121. Details of each certification follow.

Home health agency certification: CCN 147567

Legal name
ALLBEST HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 15, 1994
Last certification
Nov 29, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 14, 2004 in IL
Enrollment address
475 W 55TH St
Ste 211
Countryside, IL 60525-3566

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allbest Home Health Care, IncCCN 147567 · All quality measures
Ownership
Proprietary
Certified
Jun 15, 1994
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
14D0888160Allbest Home Health Care Inc475 West 55TH St, RM 211, Countryside, IL 60525Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

475 W 55th St
Ste 211
Countryside, IL 60525
Phone (708) 848-8058

6443 North Ave
Oak Park, IL 60302
Phone (708) 848-8058

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
Soledad Macatangay Individual Corporate OfficerClinical Manager Sep 2, 2017
W-2 Managing EmployeeClinical Manager Sep 2, 2017
Operational/Managerial ControlClinical Manager Sep 2, 2017
Maria Lourdes Ramirez Individual 5% Or Greater Direct Ownership Interest Jul 1, 2015 100%
Corporate OfficerPres/Admin/Finance Officer Jul 1, 2015 100%
W-2 Managing EmployeePres/Admin/Finance Officer Jul 1, 2015 100%
Operational/Managerial ControlPres./Admin/Finance Officer Jul 1, 2015

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1184606121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 W 55TH ST",
            "address_2": "SUITE 211",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253564",
            "telephone_number": "708-848-8058",
            "fax_number": "708-848-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W 55TH ST",
            "address_2": "SUITE 211",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605253564",
            "telephone_number": "708-848-8058",
            "fax_number": "708-848-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLBEST HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARIA LOURDES",
        "authorized_official_middle_name": "MENDIOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-848-8058",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1650976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

Verify at the official NPI Registry.