Active NPI
Maxicare Home Health Services, Inc.
- Home Health Agency
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011559
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-8021 | Other | IL | CMS CERTIFICATION NUMBER |
Other names 1
- Northcare Home Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Services
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 7, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1052644 | Northcare Home Health Services | Certificate of waiver | Mar 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Raymond Silvano | W-2 Managing Employee | Dec 8, 2011 | |
| Operational/Managerial Control | Dec 8, 2011 | 100% | |
| Roy Toribio | 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.
-
- Family Medicine Physician
- Harwood Heights, IL
- NPI 1144336173
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.