Integrated Home Healthcare Services, Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010582 Issued in IL

Legal business name

INTEGRATED HOME HEALTHCARE SERVICES, CORP

Practice address

151 W Golf Rd Ste 280
Libertyville, IL 60048-3213

Phone

(847) 549-0588

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Rowena J. Oliva, APN-CNPNPI 1528124864

Title

Administrator

Phone

(847) 549-0588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147976

Legal name

INTEGRATED HOME HEALTHCARE SERVICES, CORP

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 26, 2007

Last certification

Mar 1, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 30, 2005 in IL

Enrollment address

151 W Golf Rd
Libertyville, IL 60048-3213

Listed as

Integrated Home Healthcare Services, CorpCCN 147976

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jul 26, 2007

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Rowena Oliva, NP

  • Nurse Practitioner
  • Libertyville, IL
  • NPI 1528124864

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Director

  CMS ownership
• Hector Jose, APN

  • Adult Health Nurse Practitioner
  • Reno, NV
  • NPI 1396184107

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rowena Oliva, NP

  • Nurse Practitioner
  • Libertyville, IL
  • NPI 1528124864
  NPD Authorized official
• Enriqueta R Gomez, NP-C

  • Gerontology Nurse Practitioner
  • Libertyville, IL
  • NPI 1770041832
  NPD (past)
• Delphine Tar, APN

  • Family Nurse Practitioner
  • Downers Grove, IL
  • NPI 1245608470
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1477625234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W GOLF RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483213",
            "telephone_number": "847-549-0588",
            "fax_number": "847-549-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W GOLF RD STE 280",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483213",
            "telephone_number": "847-549-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOME HEALTHCARE SERVICES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "ROWENA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-549-0588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN-CNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Libertyville, IL
• Providers in Libertyville, 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 Oct 4, 2022; 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.