Midwestern Healthcare LTD.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010551 Issued in IL

Legal business name

MIDWESTERN HEALTHCARE LTD.

Practice address

122 W Saint Charles Rd
Suite 4-B
Villa Park, IL 60181-2477

Phone

(630) 617-0012

Fax

(630) 617-0023

NPI assigned

May 30, 2006

Last updated

Feb 6, 2008By 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. Augustus Leo R Hugo

Title

Administrator

Phone

(630) 205-3467

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 1376590521. Details of each certification follow.

• CCN 148168 Home health agency · Active · Details

Home health agency certification: CCN 148168

Legal name

MIDWESTERN HEALTHCARE LTD.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 13, 2010

Last certification

Jul 13, 2010

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 28, 2005 in IL

Enrollment address

129 Fairfield Way
Ste 112
Bloomingdale, IL 60108-1557

Listed as

Midwestern Healthcare, LTDCCN 148168 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jul 13, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

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

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

CLIA laboratory certificates

Locations

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.

Affiliated clinicians 3

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

• Shila Maninji

  • Family Nurse Practitioner
  • Elgin, IL
  • NPI 1275174252

  Home health agency

  Care Compare affiliation
• Ahmed Hussain Memon, NP

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1033693742

  Home health agency

  Care Compare affiliation
• Miteshkumar N Modi, PA-C

  • Physician Assistant
  • Marion, IL
  • NPI 1891829222

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1376590521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W SAINT CHARLES RD",
            "address_2": "SUITE 4-B",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812477",
            "telephone_number": "630-617-0012",
            "fax_number": "630-617-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W SAINT CHARLES RD",
            "address_2": "SUITE 4-B",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812477",
            "telephone_number": "630-617-0012",
            "fax_number": "630-617-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN HEALTHCARE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "HUGO",
        "authorized_official_first_name": "AUGUSTUS LEO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-205-3467",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospital and Medical Center
• Meridian Medical Solutions LLC
• Linda A. Merry
• Haley Mick, OTR
• Mid America Medical Center, LTD
• Inna Milgram, MD
• Kristin Beth Miller
• Mohammed Murtaza Ali Mir
• Hanna Carol Mitrick
• Julie K Miyamasu, APN-CNP

• Home Health Agency in Villa Park, IL
• Providers in Villa Park, 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, 2008; 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.