Organization Active NPI

Anuco Home Health Care LLC

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1457962144
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANUCO HOME HEALTH CARE LLC
Practice address
17 N Leclaire Ave Apt 2W
Chicago, IL 60644-4104
Phone
(630) 660-5979
NPI assigned
Aug 14, 2020
Last updated
Sep 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Reggie Smith
Title
President
Phone
(630) 272-1446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

17 N Leclaire Ave Apt 2W
Chicago, IL 60644-4104

Mailing address

17 N Leclaire Ave Apt 2W
Chicago, IL 60644-4104

Other identifiers 1

IdentifierTypeStateIssuer
8312203MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210112000044 IL Part A Provider - Home Health Agency 9133532179 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457962144. Details of each certification follow.

Home health agency certification: CCN 148390

Legal name
ANUCO HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 7, 2021
Last certification
Sep 7, 2021
Organization structure
LLCProprietary
Enrollment address
17 N Leclaire Ave
Apt 2W
Chicago, IL 60644-4104

Care Compare: Home health agency

Medicare Care Compare
Listed as
Anuco Home Health Care LLCCCN 148390 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Sep 7, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
14D2214392Anuco Home Health Care, L L C17 N Leclaire Ave- Apt 2W, Chicago, IL 60644Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Reggie Smith Individual 5% Or Greater Direct Ownership Interest Sep 26, 2024 100%
5% Or Greater Security Interest Sep 26, 2024 100%
Corporate Director Sep 26, 2024 100%
W-2 Managing EmployeeAd; Sep 26, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1457962144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N LECLAIRE AVE APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N LECLAIRE AVE APT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606444104",
            "telephone_number": "630-660-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUCO HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REGGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-272-1446"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8312203",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.