Organization Active NPI

LMR Home Health Care, Inc.

  • Home Health Agency
  • Bolingbrook, IL
National Provider Identifier
1245261106
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1705177 Issued in IL
Legal business name
LMR HOME HEALTH CARE, INC.
Practice address
167 W Boughton Rd
Bolingbrook, IL 60440-1936
Phone
(630) 679-0382
Fax
(630) 679-9765
NPI assigned
Jul 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lolita Ranchero, RN
Title
Administrator
Phone
(630) 679-0382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1705177 IL Primary

Addresses

Primary practice location

167 W Boughton Rd
Bolingbrook, IL 60440-1936

Mailing address

167 W Boughton Rd
Bolingbrook, IL 60440-1936
Phone (630) 679-0382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000301 IL Part A Provider - Home Health Agency 9133019961 Practice locations: Bolingbrook, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245261106. Details of each certification follow.

Home health agency certification: CCN 147782

Legal name
LMR HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 31, 2004
Last certification
May 28, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 2, 2003 in IL
Enrollment address
167W Boughton Rd
Bolingbrook, IL 60440-1906

Care Compare: Home health agency

Medicare Care Compare
Listed as
LMR Home Health Care, IncCCN 147782 · All quality measures
Ownership
Proprietary
Certified
Aug 31, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
LMR Home Health Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

167 W Boughton Rd
Bolingbrook, IL 60440
Phone (630) 679-0382

1410 W Fulton St
#202
Chicago, IL 60607
Phone (630) 679-0382

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
Eduardo Ranchero Individual 5% Or Greater Direct Ownership Interest Nov 25, 2012 24%
Corporate OfficerSecretary Nov 25, 2012 24%
Lolita Ranchero Individual 5% Or Greater Direct Ownership Interest May 2, 2003 51%
Corporate Officer May 2, 2003 51%
W-2 Managing EmployeePresident May 2, 2003 100%

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245261106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401936",
            "telephone_number": "630-679-0382",
            "fax_number": "630-679-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401936",
            "telephone_number": "630-679-0382",
            "fax_number": "630-679-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LMR HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RANCHERO",
        "authorized_official_first_name": "LOLITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-679-0382",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1705177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.