Organization Active NPI

Al-Shafa Health Care, Inc.

Doing business as 1st UNITED HOME HEALTH CARE, INC.

  • Home Health Agency
  • Palos Hills, IL
National Provider Identifier
1376783936
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010894 Issued in IL
Legal business name
AL-SHAFA HEALTH CARE, INC.
Doing business as
1st UNITED HOME HEALTH CARE, INC.
Practice address
8150 W 111TH St
Suite # 9
Palos Hills, IL 60465-2255
Phone
(773) 324-9600
Fax
(773) 324-9696
NPI assigned
Feb 23, 2009
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Ahmad NaeemNPI 1063684298
Title
President
Phone
(312) 927-2252

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 1010894 IL Primary

Addresses

Primary practice location

8150 W 111TH St
Suite # 9
Palos Hills, IL 60465-2255

Mailing address

8150 W 111TH St
Suite # 9
Palos Hills, IL 60465-2255
Phone (773) 324-9600

Other names 1

  • 1st UNITED 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
O20090602000331 IL Part A Provider - Home Health Agency 0941350540 Practice locations: Palos Hills, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376783936. Details of each certification follow.

Home health agency certification: CCN 148203

Legal name
AL-SHAFA HEALTH CARE, INC.
Doing business as
1ST UNITED HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 22, 2010
Last certification
Oct 22, 2010
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 21, 2006 in IL
Enrollment address
8150 W 111TH St
Ste 9
Palos Hills, IL 60465-2592

Care Compare: Home health agency

Medicare Care Compare
Listed as
Al-Shafa Health Care, IncCCN 148203 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 22, 2010
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
14D21721531St United Home Health Care8150 W 111TH St - Ste 9, Palos Hills, IL 60465Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
1St United Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8150 W 111th St
Ste 9
Palos Hills, IL 60465
Phone (312) 927-2252

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Ahmad Naeem Individual 5% Or Greater Direct Ownership InterestAdministrator Mar 21, 2006 100%
Corporate DirectorCeo Mar 21, 2010 100%
W-2 Managing EmployeeAdministrator Mar 21, 2006 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1376783936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 W 111TH ST",
            "address_2": "SUITE # 9",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652255",
            "telephone_number": "773-324-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 W 111TH ST",
            "address_2": "SUITE # 9",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604652255",
            "telephone_number": "773-324-9600",
            "fax_number": "773-324-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL-SHAFA HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-927-2252"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st UNITED HOME HEALTH CARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Hills, IL

Sources for this page

Verify at the official NPI Registry.