Organization Active NPI

Maxicare Home Health Services, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1194883280
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011559 Issued in IL
Legal business name
MAXICARE HOME HEALTH SERVICES, INC.
Practice address
5134 N Elston Ave
Chicago, IL 60630-2429
Phone
(847) 675-6007
Fax
(847) 675-6021
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Mr. Raymond C Silvano
Title
Administrator
Phone
(847) 675-6007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011559 IL Primary

Addresses

Primary practice location

5134 N Elston Ave
Chicago, IL 60630-2429

Mailing address

5134 N Elston Ave
Chicago, IL 60630-2429
Phone (847) 675-6007

Other identifiers 1

IdentifierTypeStateIssuer
14-8021OtherILCMS CERTIFICATION NUMBER

Other names 1

  • Northcare Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000206 IL Part A Provider - Home Health Agency 3971694381 Practice locations: Chicago, IL

Home health agency certification: CCN 148021

Legal name
MAXICARE HOME HEALTH SERVICES, INC
Doing business as
NORTHCARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 7, 2008
Last certification
Jan 7, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 26, 2006 in IL
Enrollment address
5134 N Elston Ave
Chicago, IL 60630-2429

Care Compare: Home health agency

Medicare Care Compare
Listed as
Northcare Home Health ServicesCCN 148021
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 7, 2008
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
14D1052644Northcare Home Health Services5134 N Elston Ave, Chicago, IL 60630Certificate of waiverMar 29, 2028

National Provider Directory

National Provider Directory

Locations

5134 N Elston Ave
Chicago, IL 60630
Phone (847) 675-6007

6201 W Howard St
Ste 206
Niles, IL 60714
Phone (847) 675-6007

5200 Main St
Ste 211
Skokie, IL 60077
Phone (847) 675-6007

5500 Touhy Ave
Unit C
Skokie, IL 60077
Phone (847) 675-6007

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
Raymond Silvano Individual W-2 Managing Employee Dec 8, 2011
Operational/Managerial Control Dec 8, 2011 100%
Roy Toribio Individual 5% Or Greater Direct Ownership Interest Dec 8, 2011 100%

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": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1194883280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302429",
            "telephone_number": "847-675-6007",
            "fax_number": "847-675-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5134 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302429",
            "telephone_number": "847-675-6007",
            "fax_number": "847-675-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXICARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "SILVANO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-675-6007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CERTIFICATION NUMBER",
            "identifier": "14-8021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northcare Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.