Shuree Home Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010956 Issued in IL

Legal business name

SHUREE HOME HEALTHCARE, INC.

Practice address

4492 West Lawrence Avenue
Chicago, IL 60630-2515

Phone

(773) 283-4950

Fax

(773) 283-4980

NPI assigned

Oct 31, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Juan Yocor Solamillo, REGISTERED NURSE

Title

Administrator/Director of Nursing

Phone

(773) 283-4950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148108

Legal name

SHUREE HOME HEALTHCARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 15, 2009

Last certification

Sep 10, 2015

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 31, 2007 in IL

Enrollment address

4492 W Lawrence Ave
Chicago, IL 60630-2515

Listed as

Shuree Home Healthcare, IncCCN 148108 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Dec 15, 2009

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1215180435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4492 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302515",
            "telephone_number": "773-283-4950",
            "fax_number": "773-283-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 WEST LAWRENCE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302515",
            "telephone_number": "773-283-4950",
            "fax_number": "773-283-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUREE HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "SOLAMILLO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "YOCOR",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "773-283-4950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Blair Shuman
• Jill Shuman, PHARM.D.
• Valery M Shuman, LCPC
• Corey Wendell Shumate, APN, PMHNP-BC
• Jackleen G Shumeil, PMHNP
• Renee Shurilla, LCPC
• Steven Joseph Shust, D.D.S.
• Daniel Shuter, MSW
• Leonid Shvartsman, M.D.
• Marina Shvartsman, M.D.

• Home Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.

Verify at the official NPI Registry.