Active NPI
Affinity Home Health Services, Inc.
- Home Health Agency
- Harwood Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010937
- Legal business name
- AFFINITY HOME HEALTH SERVICES, INC.
- Practice address
- 7151 W Gunnison St
Suite 103
Harwood Heights, IL 60706-3800 - Phone
- (708) 867-7902
- Fax
- (708) 867-7952
- NPI assigned
- Oct 17, 2008
- Last updated
- Oct 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Julio C Delos Reyes, R.N.
- Title
- Agency Supervisor
- Phone
- (708) 867-7902
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010937 | IL | Primary |
Addresses
Primary practice location
7151 W Gunnison St
Suite 103
Harwood Heights, IL 60706-3800
Mailing address
7151 W Gunnison St
Suite 103
Harwood Heights, IL 60706-3800
Phone (708) 867-7902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090319000524 | IL | Part A Provider - Home Health Agency | 4284791161 | Practice locations: Harwood Heights, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1437301751. Details of each certification follow.
Home health agency certification: CCN 148104
- Legal name
- AFFINITY HOME HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 21, 2009
- Last certification
- Jul 29, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 23, 2007 in IL
- Enrollment address
- 7125 W Gunnison St
Ste 206
Harwood Heights, IL 60706-3830
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Affinity Home Health Services, Inc
- Ownership
- Proprietary
- Certified
- Nov 21, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1079112 | Affinity Home Health Services Inc | Certificate of waiver | Aug 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
7125 W Gunnison St
Ste 206
Harwood Heights, IL 60706
Phone (708) 867-7902
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Julio Delos Reyes | 5% Or Greater Direct Ownership Interest | Dec 15, 2023 | 51% |
| Corporate Director | Dec 15, 2023 | 51% | |
| W-2 Managing Employee | Nov 1, 2008 | ||
| Maria de Vera | 5% Or Greater Direct Ownership Interest | Dec 15, 2023 | 49% |
| Corporate Director | Dec 15, 2023 | 49% | |
| Paul a Delos-Reyes | Corporate Director | Dec 10, 2012 |
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1224201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224201600000",
"number": "1437301751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7151 W GUNNISON ST",
"address_2": "SUITE 103",
"city": "HARWOOD HEIGHTS",
"state": "IL",
"postal_code": "607063800",
"telephone_number": "708-867-7902",
"fax_number": "708-867-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7151 W GUNNISON ST",
"address_2": "SUITE 103",
"city": "HARWOOD HEIGHTS",
"state": "IL",
"postal_code": "607063800",
"telephone_number": "708-867-7902",
"fax_number": "708-867-7952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY HOME HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-17",
"last_updated": "2008-10-17",
"status": "A",
"authorized_official_last_name": "DELOS REYES",
"authorized_official_first_name": "JULIO",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "AGENCY SUPERVISOR",
"authorized_official_telephone_number": "708-867-7902",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harwood Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.