NPIMap

Organization Active NPI

Reign Management Group, Inc.

Doing business as Ardent Home Health Care

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1255376836
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011297 Issued in IL
Legal business name
REIGN MANAGEMENT GROUP, INC.
Doing business as
Ardent Home Health Care
Practice address
6124 West 63Rd Street
Chicago, IL 60638
Phone
(773) 229-8400
Fax
(773) 229-0155
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mrs. Victoria T. Venuso, R.N.
Title
Administrator
Phone
(773) 229-8400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010145 IL
Home Health Agency 251E00000X 1011297 IL Primary

Addresses

Primary practice location

6124 West 63Rd Street
Chicago, IL 60638

Mailing address

6124 West 63Rd Street
Chicago, IL 60638
Phone (773) 229-8400

Other names 1

  • Ardent Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100325000303 IL Part A Provider - Home Health Agency 8325174790 Practice locations: Orland Park, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255376836. Details of each certification follow.

Home health agency certification: CCN 147658

Legal name
REIGN MANAGEMENT GROUP, INC.
Doing business as
ARDENT HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 26, 1996
Last certification
Feb 11, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 22, 2009 in IL
Enrollment address
11849 Sterling Dr
Orland Park, IL 60467-1413

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ardent Home Health CareCCN 147658 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 26, 1996
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

6124 W 63rd St
Chicago, IL 60638
Phone (773) 229-8400

6634 Roosevelt Rd
Oak Park, IL 60304
Phone (708) 358-1800

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Victoria Venuso Individual 5% Or Greater Direct Ownership InterestOwner/President Jun 20, 2011 75%
Corporate OfficerAdmin Jan 1, 2010
Corporate DirectorBoard Member Jan 1, 2010
W-2 Managing EmployeePresident Jan 1, 2010 100%
Hannahlyn Juachon Individual 5% Or Greater Direct Ownership InterestBoard Member Jan 1, 2010 12.5%
Reign Management Group, Inc. Organization, Oak Park, IL Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2010
Operational/Managerial Control Jan 1, 2010
Jimmy Zhang Individual 5% Or Greater Direct Ownership InterestTreasurer Jan 1, 2010 12.5%
Corporate OfficerBoard Member Dec 22, 2009

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1255376836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 WEST 63RD STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60638",
            "telephone_number": "773-229-8400",
            "fax_number": "773-229-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 WEST 63RD STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60638",
            "telephone_number": "773-229-8400",
            "fax_number": "773-229-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIGN MANAGEMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "VENUSO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-229-8400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010145",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ardent Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.