Illinois Healthcare Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ILLINOIS HEALTHCARE SERVICES, LLC.

Practice address

8430 Gross Point Rd Ste 202
Skokie, IL 60077-2000

Phone

(847) 966-9962

Fax

(847) 966-9906

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Maria N. Verceles

Title

Administrator

Phone

(847) 966-9962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148179

Legal name

ILLINOIS HEALTHCARE SERVICES, LLC

Doing business as

ILLINOIS HEALTHCARE SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 29, 2010

Last certification

May 3, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

5940 W Touhy Ave
Ste 130
Niles, IL 60714-4642
HHA Branch

Listed as

Illinois Health Care Services, LLCCCN 148179 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Apr 29, 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 4

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

Affiliated clinicians 6

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

• Husam M. Ali, MD

  • Family Medicine Physician
  • Burbank, IL
  • NPI 1912444209

  Home health agency

  Care Compare affiliation
• Sandeep Chandra, M.D.

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1063453876

  Home health agency

  Care Compare affiliation
• Ahmed Hussain Memon, NP

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1033693742

  Home health agency

  Care Compare affiliation
• Miteshkumar N Modi, PA-C

  • Physician Assistant
  • Marion, IL
  • NPI 1891829222

  Home health agency

  Care Compare affiliation
• Suman Kant Setia, M.D.

  • Adult Medicine Physician
  • Evergreen Park, IL
  • NPI 1871560169

  Home health agency

  Care Compare affiliation
• Angelo Williams, D.O.

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1164962312

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1437391695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 GROSS POINT RD STE 202",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772000",
            "telephone_number": "847-966-9962",
            "fax_number": "847-966-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 GROSS POINT RD STE 202",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772000",
            "telephone_number": "847-966-9962",
            "fax_number": "847-966-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8430 Gross Point Road",
            "address_2": "1st Floor, Room B",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771118",
            "country_code": "US",
            "telephone_number": "847-966-9962",
            "fax_number": "847-966-9906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ILLINOIS HEALTHCARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "VERCELES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-966-9962",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Illinois Behavioral Health Group, P.C.
• Illinois Center for Trauma and Addiction Treatment LLC
• Illinois Dermatology Institute, LLC
• Illinois Home Therapy LLC (Legends Home Therapy)
• Illinois Professional Home Health, Inc.
• Illinois Rehab Providers, Inc.
• Immaculate Home Health, Inc.
• Imperial of Hazelcrest

• Home Health Agency in Skokie, IL
• Providers in Skokie, 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 Feb 21, 2018; 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.