Organization Active NPI

Physicians to You Home Health Limited

  • Home Health Aide
  • Berwyn, IL
National Provider Identifier
1184983223
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
PHYSICIANS TO YOU HOME HEALTH LIMITED
Practice address
6916 Cermak Rd
Berwyn, IL 60402-2244
Phone
(708) 933-3840
NPI assigned
May 10, 2012
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Mr. Manuel Davila
Title
Chief Financial Officer
Phone
(708) 362-4334

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU
Home Health Aide 374U00000X NU Primary

Addresses

Primary practice location

6916 Cermak Rd
Berwyn, IL 60402-2244

Mailing address

3266 S 58TH Ave
Cicero, IL 60804-3840
Phone (312) 714-3644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120827000228 IL Part B Supplier - Clinic/Group Practice 5193972164 Receives reassigned benefits from 14 practitioners
Practice locations: Berwyn, IL

National Provider Directory

National Provider Directory

Locations

6916 Cermak Rd
Berwyn, IL 60402
Phone (708) 933-3840

3201 S Austin Blvd
Cicero, IL 60804
Phone (708) 933-3840

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1184983223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3266 S 58TH AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608043840",
            "telephone_number": "312-714-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022244",
            "telephone_number": "708-933-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS TO YOU HOME HEALTH LIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "708-362-4334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.