Complete Home Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPLETE HOME HEALTH SERVICES, INC

Practice address

16234 Prince Dr
South Holland, IL 60473-3233

Phone

(708) 333-1700

Fax

(708) 333-1701

NPI assigned

Jul 23, 2009

Last updated

Jul 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Pacholski

Title

Administrator

Phone

(708) 333-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245460385. Details of each certification follow.

• CCN 148219 Home health agency · Active · Details

Home health agency certification: CCN 148219

Legal name

COMPLETE HOME HEALTH SERVICES, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 8, 2011

Last certification

Dec 12, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 17, 2009 in IL

Enrollment address

16236 Prince Dr
South Holland, IL 60473-3233

Listed as

Complete Home Health Services, IncCCN 148219 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Feb 8, 2011

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 6

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Theodise Harris, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1134716830

  Home health agency

  Care Compare affiliation
• Ahmed Sharif

  • Hospitalist Physician
  • Carbondale, IL
  • NPI 1780034926

  Home health agency

  Care Compare affiliation
• Nikhil Gautam Pandhi, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Munster, IN
  • NPI 1417071374

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1245460385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16234 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "708-333-1700",
            "fax_number": "708-333-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16234 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "708-333-1700",
            "fax_number": "708-333-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "PACHOLSKI",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-333-1700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Cobb-Dishman, SOCIAL WORKER
• Jacqueline Coffer, FNP-C
• Casey Coleman, DPT
• Ronald Thomas Coleman Sr.
• Betsy Colvin, LCSW
• Carlos Concepcion, M.D.
• Conscientious Incorporated
• Kristian Cook
• Natanya Cooper
• Christopher Corazzi, DPT

• Home Health Agency in South Holland, IL
• Providers in South Holland, 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 Jul 23, 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.