Organization Active NPI

Saint Thomas Home Health, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1376765073
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010542 Issued in IL
Legal business name
SAINT THOMAS HOME HEALTH, INC.
Practice address
7017 W Higgins Ave
Chicago, IL 60656-1901
Phone
(773) 775-7390
Fax
(773) 775-7395
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Mrs. Editha Sandee Valencia Barrameda, R.N. , B.S.N.NPI 1104039411
Title
Administrator
Phone
(773) 777-7815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010542 IL Primary

Addresses

Primary practice location

7017 W Higgins Ave
Chicago, IL 60656-1901

Mailing address

7017 W Higgins Ave
Chicago, IL 60656-1901
Phone (773) 775-7390

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060329000391 IL Part A Provider - Home Health Agency 1456369602 Practice locations: Chicago, IL

Home health agency certification: CCN 147961

Legal name
SAINT THOMAS HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 23, 2007
Last certification
May 31, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 28, 2005 in IL
Enrollment address
7017 W Higgins Ave
Chicago, IL 60656-1901

Care Compare: Home health agency

Medicare Care Compare
Listed as
Saint Thomas Home Health, IncCCN 147961
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Mar 23, 2007
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
14D1047145Saint Thomas Home Health Inc7017 W Higgins Avenue, Chicago, IL 60656Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

4708 N Central Ave
Ste 1S
Chicago, IL 60630
Phone (773) 777-7815

7017 W Higgins Ave
Chicago, IL 60656
Phone (773) 775-7390

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Catherine Valencia Villa Individual W-2 Managing Employee Jul 28, 2005
Editha Valencia Barrameda Individual 5% Or Greater Direct Ownership Interest Sep 1, 2005
Corporate Director Mar 29, 2006
W-2 Managing Employee Sep 1, 2005
Ramon Fernandez Villa Individual 5% Or Greater Direct Ownership Interest Jul 28, 2005
Corporate Director Mar 29, 2006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1376765073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561901",
            "telephone_number": "773-775-7390",
            "fax_number": "773-775-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561901",
            "telephone_number": "773-775-7390",
            "fax_number": "773-775-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT THOMAS HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "BARRAMEDA",
        "authorized_official_first_name": "EDITHA SANDEE",
        "authorized_official_middle_name": "VALENCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-777-7815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N. , B.S.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.