Community Home Health Care Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010728 Issued in IL

Legal business name

COMMUNITY HOME HEALTH CARE INC.

Practice address

999 N Main St
Suite 200
Glen Ellyn, IL 60137-3581

Phone

(630) 545-0183

Fax

(630) 545-0353

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Corazon Macenas, RN

Title

Administrator, Director of Nursing

Phone

(630) 545-0183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148035

Legal name

COMMUNITY HOME HEALTH CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 5, 2009

Last certification

Mar 5, 2009

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 27, 2006 in IL

Enrollment address

109 Fairfield Way
Ste 101
Bloomingdale, IL 60108-1522

Listed as

Community Home Health Care, IncCCN 148035 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Mar 5, 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 2

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": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198368000000",
    "number": "1235335126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373581",
            "telephone_number": "630-545-0183",
            "fax_number": "630-545-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N MAIN ST",
            "address_2": "SUITE 200",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373581",
            "telephone_number": "630-545-0183",
            "fax_number": "630-545-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-12-23",
        "status": "A",
        "authorized_official_last_name": "MACENAS",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_title_or_position": "ADMINISTRATOR, DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "630-545-0183",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2007; 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.