Buena Vida Home Health Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BUENA VIDA HOME HEALTH AGENCY INC.

Practice address

5318 W Devon Ave
Chicago, IL 60646-4108

Phone

(773) 875-5879

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Maria Aida Ramos, OWNER

Title

President

Phone

(773) 875-5879

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148403

Legal name

BUENA VIDA HOME HEALTH AGENCY INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 16, 2022

Last certification

Nov 17, 2022

Organization structure

CorporationProprietary

Incorporated

May 2, 2019 in IL

Enrollment address

5318 1/2 W Devon Ave
Suite 6
Chicago, IL 60646-4108

Listed as

Buena Vida Home Health Agency Inc.CCN 148403

Overall star rating

2 of 5

Ownership

-

Certified

Dec 16, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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 3

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

Affiliated clinicians 4

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

• Lalitha Kameswari Darbha, M.D.

  • Internal Medicine Physician
  • Hinsdale, IL
  • NPI 1942458732

  Home health agency

  Care Compare affiliation
• Maria Socorro James-Silva, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1780764084

  Home health agency

  Care Compare affiliation
• Samuel Lespinasse, M.D.

  • General Practice Physician
  • Cicero, IL
  • NPI 1356617849

  Home health agency

  Care Compare affiliation
• Rajendra Prasad Mullapudi, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1679764096

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1265014245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 N MELVINA AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606345433",
            "telephone_number": "773-875-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-875-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA HOME HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "AIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-875-5879",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli A Buehner, M.S., CCC-SLP
• Kevin George Buell, MBBS
• Michelle Buelow, R.D.
• Carly Jayne Bueltel, PSYD
• Joan Nicole Buen, M.D.
• Buena Vista Optical, P.C.
• Brian Buenaventura, APN CRNA
• Erin M Buenger, DPT
• Anne Christina Buenneke, LCSW
• Adriana Bueno, NDTR

• Home Health Agency in Chicago, IL
• Providers in Chicago, 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 Apr 28, 2021; 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.