Ico Care Home Health Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ICO CARE HOME HEALTH INC.

Practice address

1107 S Mannheim Rd
Suite 212
Westchester, IL 60154-2561

Phone

(708) 343-4704

Fax

(708) 343-4941

NPI assigned

Feb 6, 2009

Last updated

Feb 6, 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

Mr. Sunday NwankpaNPI 1487824785

Title

President/Ceo

Phone

(708) 781-3342

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 1285873752. Details of each certification follow.

• CCN 148335 Home health agency · Active · Details

Home health agency certification: CCN 148335

Legal name

ICO CARE HOME HEALTH INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 23, 2012

Last certification

Oct 23, 2012

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 31, 2007 in IL

Enrollment address

4410 Roosevelt Road
Suite 201
Hillside, IL 60162-2000

Listed as

Ico Care Home Health, IncCCN 148335 · All quality measures

Ownership

Proprietary

Certified

Oct 23, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunday Nwankpa

  • Durable Medical Equipment & Medical Supplies
  • Westchester, IL
  • NPI 1487824785
  NPD Authorized official

Affiliated clinicians 1

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

• Ahmad Muhammad Salah, D.O

  • Rheumatology Physician
  • Merrillville, IN
  • NPI 1285909481

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1285873752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 S MANNHEIM RD",
            "address_2": "SUITE 212",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542561",
            "telephone_number": "708-343-4704",
            "fax_number": "708-343-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MANNHEIM RD",
            "address_2": "SUITE 212",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542561",
            "telephone_number": "708-343-4704",
            "fax_number": "708-343-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICO CARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "NWANKPA",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "708-781-3342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Westchester, IL
• Providers in Westchester, 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 Feb 6, 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.