Devoted Health Care, Inc.
Organization Active NPI Home Health Agency · Des Plaines, IL
NPI 1508065087 · NPPES record last updated Mar 10, 2023
Key facts
- NPI
- 1508065087
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1010692 (IL)
- 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
- Organization subpart
- No
Authorized official
- Name
- Mr. Carlos Adraneda, LPN
- Title
- President
- Phone
- (847) 991-3711
Affiliated clinicians 7
-
Anthony Del Priore, M.D.
-
Doran Michael Duke, M.D.
-
Teddy Enoh, MD
-
Shmuel Price, DO
-
Tina M Rucker, MSN, APRN, FNP-C
-
Ahmad Muhammad Salah, D.O
Medicare Care Compare: Home health agency
- Listed as
- Devoted Healthcare, Inc
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Feb 12, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
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 · Proprietary
- Incorporated
- Dec 15, 2005 in IL
- Enrollment address
- 1580 N. Northwest Hwy
Suite 218
Park Ridge, IL 60068
All disclosed owners & managing parties 2
| 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% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080229000054 | IL | Part a Provider - Home Health Agency | 1759465735 | Practice locations: Park Ridge, IL |
National Provider Directory
Locations
1328 Main St
#1A
Crete, IL 60417
2720 S River Rd
Ste 4
Des Plaines, IL 60018
Phone (708) 305-6086
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010692 | IL | Yes |
| 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
Other providers in Des Plaines, IL
- Bela D Desai
- Roshni Desai
- Ashley Lucknise Descorbeth
- Doria L Devare
- Jazmin A. Devitt
- Devotion Care Inc
- Elizabeth Hilton Diaz
- Stephanie Diaz
- Sophie Elaine Dickinson
- Patrice M Dillow
All providers in Des Plaines, IL · Home Health Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.