Organization Active NPI

Benchmark Health Corp

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1346385481
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010378 Issued in IL
Legal business name
BENCHMARK HEALTH CORP
Practice address
5902 N Milwaukee Ave
Chicago, IL 60646-5420
Phone
(773) 467-4500
Fax
(773) 467-1144
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Authorized official

Name
Mrs. Roslyn Majaducon Agpasa, R.N.
Title
Administrator
Phone
(773) 467-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010378 IL Primary

Addresses

Primary practice location

5902 N Milwaukee Ave
Chicago, IL 60646-5420

Mailing address

5902 N Milwaukee Ave
Chicago, IL 60646-5420
Phone (773) 467-4500

Other identifiers 1

IdentifierTypeStateIssuer
14-7916OtherILMEDICARE ID - HOME HEALTH

Other names 1

  • Benchmark Home Health Care, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000672 IL Part A Provider - Home Health Agency 2264477165 Practice locations: Chicago, IL

Home health agency certification: CCN 147916

Legal name
BENCHMARK HEALTH CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 7, 2006
Last certification
May 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 24, 2003 in IL
Enrollment address
5902 N Milwaukee Ave
Chicago, IL 60646-5420

Care Compare: Home health agency

Medicare Care Compare
Listed as
Benchmark Home Health CareCCN 147916
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Dec 7, 2006
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
14D1024588Benchmark Home Health5902 N Milwaukee Ave, Chicago, IL 60646Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

5902 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 467-4500

5936 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 467-4500

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
Chara Kagan Individual 5% Or Greater Direct Ownership Interest Feb 8, 2006
Corporate Director Feb 8, 2006
W-2 Managing Employee Feb 8, 2006
James Robert Kagan Revocable Trust Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Apr 10, 2012 10%
Roslyn Agpasa Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 45%
Corporate Officer Jan 1, 2009 45%
Corporate Director Jan 1, 2009 45%
Richard Ansfield Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 45%
Corporate Officer Jan 1, 2009 45%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1346385481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465420",
            "telephone_number": "773-467-4500",
            "fax_number": "773-467-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465420",
            "telephone_number": "773-467-4500",
            "fax_number": "773-467-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCHMARK HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "AGPASA",
        "authorized_official_first_name": "ROSLYN",
        "authorized_official_middle_name": "MAJADUCON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-467-4500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - HOME HEALTH",
            "identifier": "14-7916",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Home Health Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.