Accord Home Health Services, Inc.
Organization Active NPI Home Health Agency · Tinley Park, IL
NPI 1205874005 · NPPES record last updated Nov 11, 2008
Key facts
- NPI
- 1205874005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- IL1010461 (IL)
- Legal business name
- ACCORD HOME HEALTH SERVICES, INC.
- Practice address
- 6871 171St St
Tinley Park, IL 60477-3447 - Phone
- (708) 481-6604
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Priscilla Castro, R.N.
- Title
- Administrator
- Phone
- (708) 481-6604
Affiliated clinicians 1
Medicare Care Compare: Home health agency
- Listed as
- Accord Home Health Services, Inc
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Mar 22, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1038948 | Accord Home Health Services Inc | Certificate of waiver | Mar 29, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Home health agency certification: CCN 147859
- Legal name
- ACCORD HOME HEALTH SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 22, 2006
- Last certification
- Feb 6, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Mar 4, 2005 in IL
- Enrollment address
- 6871 W 171St St
Tinley Park, IL 60477-3447
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Priscilla Castro |
5% Or Greater Direct Ownership Interest | Apr 10, 2019 | 100% |
| W-2 Managing Employee |
Dec 31, 2016 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050818000950 | IL | Part a Provider - Home Health Agency | 5092745067 | Practice locations: Tinley Park, IL |
National Provider Directory
Locations
6871 171st St
Tinley Park, IL 60477
Phone (708) 481-6604
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | IL1010461 | IL | Yes |
Addresses
Primary practice location
6871 171St St
Tinley Park, IL 60477-3447
Mailing address
6871 171St St
Tinley Park, IL 60477-3447
Phone (708) 481-6604
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL1010461 | Other | IL | STATE LICENSE NUMBER |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.