Organization Active NPI

LKB Health Care LTD.

  • Home Health Agency
  • Rolling Meadows, IL
National Provider Identifier
1205116134
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011328 Issued in IL
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, LTDCCN 148318 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 6, 2012
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
14D2027936LKB Health Care LTD3757 W Touhy Ave - Ste 103, Lincolnwood, IL 60712Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Vista Healthcare LLC Organization, Lincolnwood, IL LLC 5% Or Greater Direct Ownership Interest Sep 4, 2020 100%
Operational/Managerial Control Sep 4, 2020 100%
Narjisha Thowfeek Individual 5% Or Greater Indirect Ownership Interest Sep 4, 2020 100%
Corporate OfficerPresident Sep 4, 2020 100%
Corporate DirectorPresident Sep 4, 2020 100%
Operational/Managerial ControlPresident 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.

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.