Organization Active NPI

Optimum Home Health Care Inc

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1396938783
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010740 Issued in IL
Legal business name
OPTIMUM HOME HEALTH CARE INC
Practice address
2720 S River Rd Ste 202
Des Plaines, IL 60018-4111
Phone
(708) 422-7340
Fax
(708) 422-7348
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Ms. Maria L De Vera, RN
Title
Administrator
Phone
(708) 422-7340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010740 IL Primary

Addresses

Primary practice location

2720 S River Rd Ste 202
Des Plaines, IL 60018-4111

Mailing address

2720 S River Rd Ste 202
Des Plaines, IL 60018-4111
Phone (708) 422-7340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080410000035 IL Part A Provider - Home Health Agency 5496832818 Practice locations: Des Plaines, IL

Home health agency certification: CCN 148034

Legal name
OPTIMUM HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 5, 2008
Last certification
Jan 14, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 8, 2006 in IL
Enrollment address
2720 S River Rd
Ste 202
Des Plaines, IL 60018-4111

Care Compare: Home health agency

Medicare Care Compare
Listed as
Optimum Home Health Care, IncCCN 148034
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 5, 2008
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
14D1065070Optimum Home Health Care Inc2720 S River Rd - Ste 202, Des Plaines, IL 60018Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

2720 S River Rd
Ste 202
Des Plaines, IL 60018
Phone (708) 422-7340

9730 S Western Ave
Ste 203
Evergreen Park, IL 60805
Phone (708) 422-7340

9730 S Western Ave
Ste 710
Evergreen Pk, IL 60805
Phone (708) 952-0226

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
Julita Ortega Individual 5% Or Greater Direct Ownership InterestSecretary Jan 1, 2025 33.33%
Corporate DirectorSecretary Jan 1, 2025 33.33%
W-2 Managing EmployeeAsst. Administrator Jan 1, 2025
Maria de Vera Individual 5% Or Greater Direct Ownership InterestVice-President Jan 1, 2025 33.34%
Corporate DirectorVice-President Jan 1, 2025 33.34%
W-2 Managing EmployeeAdministrator May 1, 2019
Paul Pascua Individual 5% Or Greater Direct Ownership InterestPresident Jan 1, 2025 33.33%
Corporate DirectorPresident Jan 1, 2025 33.33%
W-2 Managing EmployeeAgency Supervisor Mar 19, 2008

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1396938783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 202",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184111",
            "telephone_number": "708-422-7340",
            "fax_number": "708-422-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 202",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184111",
            "telephone_number": "708-422-7340",
            "fax_number": "708-422-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-422-7340",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.