Active NPI
Northwest Community Hospital
- Home Health Agency
- Arlington Heights, IL
National Provider Identifier
1528026168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1000983
- Legal business name
- NORTHWEST COMMUNITY HOSPITAL
- Practice address
- 3060 W Salt Creek LN
Suite 110
Arlington Heights, IL 60005-5026 - Phone
- (847) 618-7800
- Fax
- (847) 618-7809
- NPI assigned
- May 3, 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
- Mr. Stephen O Scogna
- Title
- Vice President of Finance
- Phone
- (847) 618-5017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1000983 | IL | Primary |
Addresses
Primary practice location
3060 W Salt Creek LN
Suite 110
Arlington Heights, IL 60005-5026
Mailing address
3040 W Salt Creek LN
Arlington Heights, IL 60005-1069
Phone (847) 618-4604
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6251175 | Other | IL | AETNA |
| 9714 | Other | IL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Highland Park, IL
- NPI 1609817220
Member Of
Locations
3060 W Salt Creek Ln
Ste 110
Arlington Heights, IL 60005
Phone (847) 618-5572
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Mar 1, 2022 | Change of Ownership | Residential Home Health |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Schaumburg, IL
- NPI 1003562679
Sold to, 2022-03-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1528026168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 W SALT CREEK LN",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051069",
"telephone_number": "847-618-4604",
"fax_number": "847-618-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 W SALT CREEK LN",
"address_2": "SUITE 110",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600055026",
"telephone_number": "847-618-7800",
"fax_number": "847-618-7809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "SCOGNA",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "847-618-5017",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1000983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "6251175",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "9714",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.