Complete Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011213 Issued in IL

Legal business name

COMPLETE HOME HEALTH CARE, LLC

Practice address

2800 S Wentworth Ave
Chicago, IL 60616-4766

Phone

(773) 814-1672

Fax

(312) 808-1288

NPI assigned

Aug 28, 2010

Last updated

Aug 28, 2010By 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

Miss Lily Yuen, R.N.NPI 1922495191

Title

Agency Supervisor

Phone

(773) 814-1672

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457667305. Details of each certification follow.

• CCN 148328 Home health agency · Active · Details

Home health agency certification: CCN 148328

Legal name

COMPLETE HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 17, 2012

Last certification

Jul 17, 2012

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

309 W 23Rd St
Chicago, IL 60616-1905

Listed as

Complete Home Health Care, LLCCCN 148328 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Jul 17, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, 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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lily Yuen

  • Home Health Registered Nurse
  • Chicago, IL
  • NPI 1922495191
  NPD Authorized official

Affiliated clinicians 2

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

• Brianna Taylor, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1083394480

  Home health agency

  Care Compare affiliation
• Michelle Yu Zeng, M.D

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1255665444

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282953600000",
    "number": "1457667305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164766",
            "telephone_number": "773-814-1672",
            "fax_number": "312-808-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164766",
            "telephone_number": "773-814-1672",
            "fax_number": "312-808-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-28",
        "last_updated": "2010-08-28",
        "status": "A",
        "authorized_official_last_name": "YUEN",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "773-814-1672",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1011213",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Chicago, IL
• Providers in Chicago, 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 Aug 28, 2010; 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.