Organization Active NPI

Devoted Health Care, Inc.

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1508065087
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010692 Issued in 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
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 148031 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Feb 12, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Devoted Health Care , Inc. Organization, Park Ridge, IL Corporation 5% Or Greater Direct Ownership Interest Sep 12, 2016 100%
Operational/Managerial Control Sep 12, 2016 100%
Carlos Doni a Adraneda Individual 5% Or Greater Direct Ownership Interest Sep 12, 2016 100%
W-2 Managing EmployeePresident Sep 12, 2016 100%
Operational/Managerial ControlPresident Sep 12, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "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

Verify at the official NPI Registry.