GL Healthcare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010993 Issued in IL

Legal business name

GL HEALTHCARE, INC.

Practice address

1315 Macom Dr Ste 104
Naperville, IL 60564-9360

Phone

(708) 535-9482

Fax

(708) 535-9483

NPI assigned

Jan 12, 2009

Last updated

Nov 30, 2023By 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

Ms. Mary Cydel Mallari, RN

Title

Director of Nursing

Phone

(708) 535-9482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497992580. Details of each certification follow.

• CCN 148151 Home health agency · Active · Details

Home health agency certification: CCN 148151

Legal name

GL HEALTHCARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 11, 2010

Last certification

Nov 21, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 24, 2007 in IL

Enrollment address

402 W Boughton Rd
Ste B
Bolingbrook, IL 60440-1800

Listed as

GL Healthcare, IncCCN 148151 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Feb 11, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

GL Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GL Healthcare, Inc.

  • Home Health Agency
  • Naperville, IL
  • NPI 1952670853
  NPD tax ID

Locations

All disclosed owners & managing parties 5

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

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1497992580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649360",
            "telephone_number": "708-535-9482",
            "fax_number": "708-535-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 MACOM DR STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649360",
            "telephone_number": "708-535-9482",
            "fax_number": "708-535-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "MARY CYDEL",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "708-535-9482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina L. Spielman, LCSW & Assoc., LTD.
• Joseph A Giordano, DO
• Jeffrey D. Girardot, MD
• Marissa Giunta, PA-C
• Sara Gjorgjevik
• GL Healthcare, Inc.
• Julia L Gladis, RD
• Selma Selena Gladney, MSOM, L.AC., LMT
• Ronald J Glas, MD
• Tatjana Karovic Glasser, OD

• Home Health Agency in Naperville, IL
• Providers in Naperville, 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 Nov 30, 2023; 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.