NPIMap

Organization Active NPI

Ideal Care Home Health, Inc.

  • Home Health Agency
  • Morton Grove, IL
National Provider Identifier
1245463652
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011114 Issued in IL
Legal business name
IDEAL CARE HOME HEALTH, INC.
Practice address
6348 Oakton St
Morton Grove, IL 60053-2723
Phone
(847) 749-8333
Fax
(224) 374-1956
NPI assigned
Sep 1, 2009
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Jodi Kay Hutch
Title
Operations Manager
Phone
(847) 749-0833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011114 IL Primary

Addresses

Primary practice location

6348 Oakton St
Morton Grove, IL 60053-2723

Mailing address

6348 Oakton St
Morton Grove, IL 60053-2723
Phone (847) 749-8333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091028000660 IL Part A Provider - Home Health Agency 6103963855 Practice locations: Morton Grove, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245463652. Details of each certification follow.

Home health agency certification: CCN 148202

Legal name
IDEAL CARE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 16, 2010
Last certification
Nov 16, 2010
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 2, 2008 in IL
Enrollment address
6348 Oakton St
Morton Grove, IL 60053-2723

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ideal Care Home Health, IncCCN 148202 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 16, 2010
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

Locations

95 Trade St
Ste 106
Aurora, IL 60504
Phone (630) 851-2400

6348 Oakton St
Morton Grove, IL 60053
Phone (847) 749-0833

800 E Northwest Hwy
Ste 107
Mt Prospect, IL 60056
Phone (847) 749-0833

5559 Howard St
Skokie, IL 60077
Phone (847) 749-0833

Ownership & related parties

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.

NameRoleSinceShare
Drehobl Holdings LLC Organization, Morton Grove, IL Corporation, LLC, For-profit 5% Or Greater Direct Ownership Interest Jun 6, 2014 100%
Jodi Hutch Individual 5% Or Greater Indirect Ownership Interest Jun 6, 2014 10%
Corporate Officer Jun 6, 2014
Corporate Director Jun 6, 2014 50%
W-2 Managing Employee Feb 23, 2018
Alex Cameron Individual 5% Or Greater Indirect Ownership Interest Jun 6, 2014 10%
David Prehobl Individual Corporate OfficerVice President Jun 6, 2014
Corporate Director Jun 6, 2014 50%
Jennafer Barrett Individual 5% Or Greater Indirect Ownership Interest Jun 6, 2014 40%
Christine O'Malley Individual 5% Or Greater Indirect Ownership Interest Jun 6, 2014 40%

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1245463652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 OAKTON ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532723",
            "telephone_number": "847-749-8333",
            "fax_number": "224-374-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6348 OAKTON ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532723",
            "telephone_number": "847-749-8333",
            "fax_number": "224-374-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "HUTCH",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "847-749-0833"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

Verify at the official NPI Registry.