Active NPI
Comprehensive Quality Care Inc Foundation
- Home Health Agency
- Chicago, IL
National Provider Identifier
1508805938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010238
- Legal business name
- COMPREHENSIVE QUALITY CARE INC FOUNDATION
- Practice address
- 3517 S King Dr
Chicago, IL 60653-3395 - Phone
- (773) 924-5900
- Fax
- (773) 924-5933
- NPI assigned
- Jun 4, 2006
- 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
- Dr. John M Tar, PHD
- Title
- President &Ceo
- Phone
- (773) 924-5900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010238 | IL | Primary |
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
3517 S King Dr
Chicago, IL 60653-3395
Mailing address
3517 South Martin Luther King Dr.
Chicago, IL 60653
UM
Phone (773) 924-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364435038001 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061114000290 | IL | Part A Provider - Home Health Agency | 5799783361 | Practice locations: Chicago, IL; Hazel Crest, IL |
Home health agency certification: CCN 147762
- Legal name
- COMPREHENSIVE QUALITY CARE INC FOUNDATION
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 12, 2004
- Last certification
- Aug 31, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 14, 2001 in IL
- Enrollment address
- 3517 South Martin Luther King Drive
Chicago, IL 60653-1109
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Comprehensive Quality Care, Inc Foundation
- Ownership
- Proprietary
- Certified
- Feb 12, 2004
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy
National Provider Directory
National Provider DirectoryLocations
3517 S King Dr
Chicago, IL 60653
Phone (470) 878-5051
3400 W 183rd St
Ste A
Hazel Crest, IL 60429
Phone (708) 957-4000
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 |
|---|---|---|---|
| John M Tar | 5% Or Greater Direct Ownership Interest | May 14, 2001 | 50% |
| Corporate Officer | May 14, 2001 | 50% | |
| Corporate Director | May 14, 2001 | 50% | |
| W-2 Managing Employee | May 14, 2001 | 50% | |
| Operational/Managerial Control | May 14, 2001 | 50% | |
| Joanne Glenn | 5% Or Greater Direct Ownership Interest | May 14, 2001 | 50% |
| Corporate Director | May 14, 2001 | 50% | |
| W-2 Managing Employee | May 14, 2001 | 50% | |
| Operational/Managerial Control | May 14, 2001 | 50% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485475200000",
"number": "1508805938",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "3517 SOUTH MARTIN LUTHER KING DR.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60653",
"telephone_number": "773-924-5900",
"fax_number": "773-924-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3517 S KING DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606533395",
"telephone_number": "773-924-5900",
"fax_number": "773-924-5933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE QUALITY CARE INC FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2017-01-27",
"status": "A",
"authorized_official_last_name": "TAR",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT &CEO",
"authorized_official_telephone_number": "773-924-5900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010238",
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364435038001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
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- Comprehensive Spine & Body Care, Inc.
- Comprehensive Surgical Services LLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.