NPIMap

Organization Active NPI

Humanity Home Health, LLC

  • Home Health Agency
  • Lombard, IL
National Provider Identifier
1265784276
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HUMANITY HOME HEALTH, LLC
Practice address
450 E 22ND St Ste 217
Lombard, IL 60148-6176
Phone
(630) 519-4744
Fax
(630) 317-7870
NPI assigned
Oct 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Authorized official

Name
Ms. Evangeline V Cooper
Title
President
Phone
(630) 519-4744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

450 E 22ND St Ste 217
Lombard, IL 60148-6176

Mailing address

450 E 22ND St Ste 217
Lombard, IL 60148-6176
Phone (630) 519-4744

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130201000011 IL Part A Provider - Home Health Agency 1658525415 Practice locations: Lombard, IL

Home health agency certification: CCN 147964

Legal name
HUMANITY HOME HEALTH, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 3, 2007
Last certification
Jun 4, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Aug 31, 2012 in IL
Enrollment address
450 E 22ND St
Ste 217
Lombard, IL 60148-6176

Care Compare: Home health agency

Medicare Care Compare
Listed as
Humanity Home Health LLCCCN 147964
Ownership
Proprietary
Certified
Apr 3, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2093080Humanity Home Health LLC450 E 22ND St - Ste 217, Lombard, IL 60148Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

7416 S County Line Rd
Ste C
Burr Ridge, IL 60527
Phone (630) 568-3262

450 E 22nd St
Ste 217
Lombard, IL 60148
Phone (630) 519-4744

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Evc Investments Inc Organization, Lombard, IL Created for acquisition, Holding company 5% Or Greater Indirect Ownership Interest Dec 4, 2012 60%
Evangeline V Cooper Individual 5% Or Greater Indirect Ownership Interest Dec 4, 2012 60%
Corporate OfficerManager Ceo Dec 4, 2012
W-2 Managing Employee Dec 4, 2012
Maven Investment Holdins Inc Organization, Lombard, IL Holding company 5% Or Greater Indirect Ownership Interest Dec 4, 2012 40%
Bernadette Ramirez Individual W-2 Managing EmployeeAdministrator Jun 2, 2014 100%
Maryann R Czarnota Individual 5% Or Greater Indirect Ownership Interest Dec 4, 2012 40%

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1265784276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST STE 217",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486176",
            "telephone_number": "630-519-4744",
            "fax_number": "630-317-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E 22ND ST STE 217",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486176",
            "telephone_number": "630-519-4744",
            "fax_number": "630-317-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANITY HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-519-4744",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.