Active NPI
Purpose Home Healthcare LLC
- Home Health Agency
- Warrenville, IL
National Provider Identifier
1306559232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PURPOSE HOME HEALTHCARE LLC
- Practice address
- 4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023 - Phone
- (630) 912-8345
- Fax
- (630) 912-8144
- NPI assigned
- Jan 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamella Makoni
- Title
- Owner/President
- Phone
- (630) 912-8345
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Mailing address
4320 Winfield Rd Ste 200
Warrenville, IL 60555-4023
Phone (630) 912-8345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240524003563 | IL | Part A Provider - Home Health Agency | 2062865496 | Practice locations: Warrenville, IL |
Home health agency certification: CCN 148422
- Legal name
- PURPOSE HOME HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 25, 2024
- Last certification
- Dec 11, 2024
- Organization structure
- LLC
- Incorporated
- Dec 28, 2022 in IL
- Enrollment address
- 4320 Winfield Rd
Ste 200
Warrenville, IL 60555-4023
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Purpose Home Healthcare, LLC
- Ownership
- -
- Certified
- Dec 25, 2024
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2304451 | Purpose Home Healthcare LLC | Certificate of waiver | May 13, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Pamella Makoni | 5% Or Greater Direct Ownership Interest | Dec 25, 2024 | 100% |
| Corporate Director | Dec 25, 2024 | 75% | |
| W-2 Managing Employee | Dec 25, 2024 | 100% | |
| Munashe Ariwamwari | Corporate Director | Dec 25, 2024 | 25% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1306559232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 WINFIELD RD STE 200",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554023",
"telephone_number": "630-912-8345",
"fax_number": "630-912-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 WINFIELD RD STE 200",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554023",
"telephone_number": "630-912-8345",
"fax_number": "630-912-8144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURPOSE HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-05",
"last_updated": "2023-01-05",
"certification_date": "2023-01-03",
"status": "A",
"authorized_official_last_name": "MAKONI",
"authorized_official_first_name": "PAMELLA",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "630-912-8345"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.