Alliedcare Home Health of Illinois, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ALLIEDCARE HOME HEALTH OF ILLINOIS, LLC

Practice address

380 E Northwest Hwy
Suite 320F
Des Plaines, IL 60016-2290

Phone

(847) 296-9955

Fax

(847) 296-9977

NPI assigned

Oct 21, 2009

Last updated

May 19, 2011By 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. Dennis Apolonio Manalo

Title

Member

Phone

(847) 507-6767

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 1386970655. Details of each certification follow.

• CCN 148193 Home health agency · Active · Details

Home health agency certification: CCN 148193

Legal name

ALLIEDCARE HOME HEALTH OF ILLINOIS, LLC

Doing business as

MED REMEDY SERVICES, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 8, 2010

Last certification

Oct 8, 2010

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

380 E Northwest Highway
Suite 320F
Des Plaines, IL 60016-2290

Listed as

Alliedcare Home Health of Illinois, LLCCCN 148193 · All quality measures

Overall star rating

2.5 of 5

Ownership

Proprietary

Certified

Oct 8, 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 1

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

• Dipeshkumar Shah, MD

  • Internal Medicine Physician
  • Northbrook, IL
  • NPI 1144236233

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1386970655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY",
            "address_2": "SUITE 320F",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162290",
            "telephone_number": "847-296-9955",
            "fax_number": "847-296-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E NORTHWEST HWY",
            "address_2": "SUITE 320F",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162290",
            "telephone_number": "847-296-9955",
            "fax_number": "847-296-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIEDCARE HOME HEALTH OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "APOLONIO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "847-507-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacqueline E. Allen, PH.D.
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• Ali Alqaisi
• Daniel C Alter, MD
• Olesya Altman, LDN
• Jenna Anne Altpeter

• Home Health Agency in Des Plaines, IL
• Providers in Des Plaines, 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 May 19, 2011; 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.