NPIMap

Organization Active NPI

Guardian Home Health Care LLC

  • Home Health Agency
  • Northfield, IL
National Provider Identifier
1366439655
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010329 Issued in IL
Legal business name
GUARDIAN HOME HEALTH CARE LLC
Practice address
181 Waukegan Rd
Suite 301
Northfield, IL 60093-2755
Phone
(847) 441-5020
NPI assigned
Oct 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Peter Mandellos
Title
Mananger
Phone
(847) 441-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010329 IL Primary

Addresses

Primary practice location

181 Waukegan Rd
Suite 301
Northfield, IL 60093-2755

Mailing address

181 Waukegan Rd
Suite 301
Northfield, IL 60093-2755
Phone (847) 441-5020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000554 IL Part A Provider - Home Health Agency 0749251643 Practice locations: Northfield, IL

Home health agency certification: CCN 147785

Legal name
GUARDIAN HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2004
Last certification
Aug 20, 2020
Ownership / control type
Proprietary
Organization structure
PartnershipProprietary
Incorporated
Dec 31, 2003 in IL
Enrollment address
181 Waukegan Rd
Ste 301
Northfield, IL 60093-2700

Care Compare: Home health agency

Medicare Care Compare
Listed as
Guardian Home Health Care, LLCCCN 147785
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 21, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

770 W Frontage Rd
Ste 132
Northfield, IL 60093
Phone (847) 441-5020

181 Waukegan Rd
Ste 301
Northfield, IL 60093
Phone (847) 441-5020

Ownership & 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.

NameRoleSinceShare
Panagiotis Mandellos Individual 5% Or Greater Direct Ownership Interest May 6, 2004 38.5%
W-2 Managing Employee Dec 31, 2003
Helen Smekhov Individual 5% Or Greater Direct Ownership Interest May 6, 2004 62.5%
W-2 Managing Employee Dec 31, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1366439655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 WAUKEGAN RD",
            "address_2": "SUITE 301",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932755",
            "telephone_number": "847-441-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 WAUKEGAN RD",
            "address_2": "SUITE 301",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932755",
            "telephone_number": "847-441-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-01",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "MANDELLOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "MANANGER",
        "authorized_official_telephone_number": "847-441-5020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

Verify at the official NPI Registry.