Active NPI
LKB Health Care LTD.
- Home Health Agency
- Rolling Meadows, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011328
- Legal business name
- LKB HEALTH CARE LTD.
- Practice address
- 5105 Tollview Dr
106
Rolling Meadows, IL 60008-3713 - Phone
- (847) 749-2390
- Fax
- (847) 749-4610
- NPI assigned
- Aug 23, 2011
- Last updated
- Feb 21, 2017
- 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. Kamran Anis
- Title
- President
- Phone
- (847) 749-2390
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011328 | IL | Primary |
Addresses
Primary practice location
5105 Tollview Dr
106
Rolling Meadows, IL 60008-3713
Mailing address
5105 Tollview Dr
106
Rolling Meadows, IL 60008-3713
Phone (847) 749-2390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120321000791 | IL | Part A Provider - Home Health Agency | 2264692656 | Practice locations: Lincolnwood, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1205116134. Details of each certification follow.
Home health agency certification: CCN 148318
- Legal name
- LKB HEALTH CARE LTD
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 6, 2012
- Last certification
- Jul 5, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 31, 2006 in IL
- Enrollment address
- 3757 W Touhy Ave
Ste 103
Lincolnwood, IL 60712-2626
Care Compare: Home health agency
Medicare Care Compare- Listed as
- LKB Health Care, LTD
- Overall star rating
- Ownership
- Proprietary
- Certified
- Aug 6, 2012
- 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 |
|---|---|---|---|
| 14D2027936 | LKB Health Care LTD | Certificate of waiver | Aug 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
3757 W Touhy Ave
Ste 103
Lincolnwood, IL 60712
Phone (847) 749-2390
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 |
|---|---|---|---|
| Vista Healthcare LLC | 5% Or Greater Direct Ownership Interest | Sep 4, 2020 | 100% |
| Operational/Managerial Control | Sep 4, 2020 | 100% | |
| Narjisha Thowfeek | 5% Or Greater Indirect Ownership Interest | Sep 4, 2020 | 100% |
| Corporate Officer | Sep 4, 2020 | 100% | |
| Corporate Director | Sep 4, 2020 | 100% | |
| Operational/Managerial Control | Sep 4, 2020 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Rolling Meadows, IL
- NPI 1679247001
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adolescent Medicine (Internal Medicine) Physician
- Mount Prospect, IL
- NPI 1922140300
Home health agency
-
- Psychiatric/Mental Health Nurse Practitioner
- Rolling Meadows, IL
- NPI 1467924902
Home health agency
-
- Geriatric Medicine (Family Medicine) Physician
- Chicago, IL
- NPI 1376528802
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1205116134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 TOLLVIEW DR",
"address_2": "106",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600083713",
"telephone_number": "847-749-2390",
"fax_number": "847-749-4610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 TOLLVIEW DR",
"address_2": "106",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600083713",
"telephone_number": "847-749-2390",
"fax_number": "847-749-4610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LKB HEALTH CARE LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-23",
"last_updated": "2017-02-21",
"status": "A",
"authorized_official_last_name": "ANIS",
"authorized_official_first_name": "KAMRAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-749-2390",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.