Organization Active NPI

Citywide Home Health Services, Inc.

  • Home Health Agency
  • Arlington Heights, IL
National Provider Identifier
1457598583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CITYWIDE HOME HEALTH SERVICES, INC.
Practice address
415 W Golf Rd Ste 52
Arlington Heights, IL 60005-3923
Phone
(847) 718-1800
Fax
(847) 718-1801
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Donna Castillo, RN
Title
Administrator
Phone
(847) 718-1800

Specialties & licenses 1

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

Addresses

Primary practice location

415 W Golf Rd Ste 52
Arlington Heights, IL 60005-3923

Mailing address

415 W Golf Rd Ste 52
Arlington Heights, IL 60005-3923
Phone (847) 718-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000200 IL Part A Provider - Home Health Agency 6002968856 Practice locations: Westmont, IL

Home health agency certification: CCN 148138

Legal name
CITYWIDE HOME HEALTH SERVICES, INC.
Doing business as
CITYWIDE HOME HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 12, 2010
Last certification
Apr 5, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 24, 2008 in IL
Enrollment address
210 N Cass Ave
Ste a
Westmont, IL 60559-1769

Care Compare: Home health agency

Medicare Care Compare
Listed as
Citywide Home Health Services, IncCCN 148138
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 12, 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
14D1098215Citywide Home Health Services Inc210 N Cass Ave - Unit a, Westmont, IL 60559Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

855 E Golf Rd
Ste 1128
Arlington Heights, IL 60005
Phone (847) 718-1800

415 W Golf Rd
Ste 52
Arlington Hts, IL 60005
Phone (847) 258-5420

8150 W 111th St
Ste 11
Palos Hills, IL 60465
Phone (708) 974-1400

210 N Cass Ave
Ste A
Westmont, IL 60559
Phone (847) 718-1800

Ownership & related parties

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.

NameRoleSinceShare
Tanny Castillo Individual 5% Or Greater Direct Ownership Interest Apr 1, 2021 30%
Corporate OfficerPresident Apr 1, 2021 30%
W-2 Managing EmployeeAssistant Administrator LPN Sep 1, 2019
Operational/Managerial ControlPres Apr 1, 2021 30%
Ingrid Dacanay Individual 5% Or Greater Direct Ownership Interest Apr 1, 2021 20%
Corporate OfficerSec Apr 1, 2021 20%
Operational/Managerial ControlSec Apr 1, 2021 20%
Dwight Castillo Individual 5% Or Greater Direct Ownership Interest Apr 1, 2021 20%
Corporate OfficerVice President Apr 1, 2021 20%
W-2 Managing EmployeeAdministrator Sep 1, 2015
Jove Castillo Individual 5% Or Greater Direct Ownership Interest Apr 1, 2021 30%
Corporate Officer Apr 1, 2021 30%
Operational/Managerial Control Apr 1, 2021 30%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457598583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 52",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "847-718-1800",
            "fax_number": "847-718-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 52",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "847-718-1800",
            "fax_number": "847-718-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-718-1800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.