Active NPI
Devoted Health Care, Inc.
- Home Health Agency
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010692
- Legal business name
- DEVOTED HEALTH CARE, INC.
- Practice address
- 2720 S River Rd Ste 4
Des Plaines, IL 60018-4109 - Phone
- (847) 991-3711
- Fax
- (847) 991-3716
- NPI assigned
- Jul 13, 2007
- Last updated
- Mar 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos Adraneda, LPN
- Title
- President
- Phone
- (847) 991-3711
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010692 | IL | Primary |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2720 S River Rd Ste 4
Des Plaines, IL 60018-4109
Mailing address
1328 Main St # 1a
Crete, IL 60417-2131
Phone (847) 991-3711
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080229000054 | IL | Part A Provider - Home Health Agency | 1759465735 | Practice locations: Park Ridge, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508065087. Details of each certification follow.
Home health agency certification: CCN 148031
- Legal name
- DEVOTED HEALTH CARE , INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 12, 2009
- Last certification
- Feb 12, 2009
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 15, 2005 in IL
- Enrollment address
- 1580 N. Northwest Hwy
Suite 218
Park Ridge, IL 60068
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Devoted Healthcare, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 12, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1328 Main St
#1A
Crete, IL 60417
7300 N Cicero Ave
Ste 204
Lincolnwood, IL 60712
Phone (847) 991-3711
1580 N Northwest Hwy
Ste 218
Park Ridge, IL 60068
Phone (708) 829-4099
1853 Hicks Rd
Ste C
Rolling Meadows, IL 60008
Phone (847) 991-3711
1853 Hicks Rd
Ste D
Rolling Meadows, IL 60008
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Devoted Health Care , Inc. | 5% Or Greater Direct Ownership Interest | Sep 12, 2016 | 100% |
| Operational/Managerial Control | Sep 12, 2016 | 100% | |
| Carlos Doni a Adraneda | 5% Or Greater Direct Ownership Interest | Sep 12, 2016 | 100% |
| W-2 Managing Employee | Sep 12, 2016 | 100% | |
| Operational/Managerial Control | Sep 12, 2016 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 7
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Schaumburg, IL
- NPI 1053671479
Home health agency
-
- Family Medicine Physician
- Monee, IL
- NPI 1306663562
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678406400000",
"number": "1508065087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1328 MAIN ST # 1A",
"city": "CRETE",
"state": "IL",
"postal_code": "604172131",
"telephone_number": "847-991-3711",
"fax_number": "847-991-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 S RIVER RD STE 4",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600184109",
"telephone_number": "847-991-3711",
"fax_number": "847-991-3716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVOTED HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A",
"authorized_official_last_name": "ADRANEDA",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-991-3711",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010692",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.