1St Assist Home Healthcare, LLC
Organization Active NPI Home Health Agency · Schaumburg, IL
NPI 1528077211 · NPPES record last updated Sep 21, 2021
Key facts
- NPI
- 1528077211
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 1010496 (IL)
- Legal business name
- 1ST ASSIST HOME HEALTHCARE, LLC
- Practice address
- 1019 W Wise Rd
Suite 200
Schaumburg, IL 60193-3754 - Phone
- (630) 339-3688
- Fax
- (630) 339-3690
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cherille Manila
- Title
- Finance Officer / Partner
- Phone
- (847) 922-1992
Subparts reporting this organization as parent 1
Affiliated clinicians 8
-
Andrea Arias, APN
-
Lana Mangio Galera, APRN, NP-C
-
Katie Mucia, FNP-BC
-
Ruksana Papa, M.D.
-
Alexander V. Potermin, M.D.
-
Arshea Siddiqui, MD
-
Karim Tourk, M.D.
-
Robert John Wolf, M.D.
Medicare Care Compare: Home health agency
- Listed as
- 1St Assist Home Healthcare, LLC
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Jan 19, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1054767 | 1St Assist Home Healthcare L L C | Certificate of waiver | May 30, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Home health agency certification: CCN 147909
- Legal name
- 1ST ASSIST HOME HEALTHCARE, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 19, 2007
- Last certification
- Mar 19, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Apr 14, 2005 in IL
- Enrollment address
- 1019 West Wise Road
Suite 200
Schaumburg, IL 60193-3754
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Pamela Canete |
5% Or Greater Direct Ownership Interest | Jan 1, 2014 | 50% |
| General Partnership Interest | Jan 1, 2024 | 33.33% | |
| Corporate Director |
Jan 1, 2014 | 50% | |
| W-2 Managing Employee | Apr 14, 2005 | ||
| Apollo Demayo |
5% Or Greater Direct Ownership Interest |
Jan 1, 2024 | 33.33% |
| General Partnership Interest | Jan 1, 2024 | 33.33% | |
| Cherille Manila |
5% Or Greater Direct Ownership Interest |
Jan 1, 2014 | 50% |
| General Partnership Interest | Jan 1, 2024 | 33.33% | |
| Corporate Director | Jan 1, 2014 | ||
| W-2 Managing Employee | Apr 14, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060411000085 | IL | Part a Provider - Home Health Agency | 4981613510 | Practice locations: Schaumburg, IL |
National Provider Directory
Locations
5519 N Cumberland Ave
Ste 1012
Chicago, IL 60656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010496 | IL | Yes |
Addresses
Primary practice location
1019 W Wise Rd
Suite 200
Schaumburg, IL 60193-3754
Mailing address
1019 W Wise Rd
Suite 200
Schaumburg, IL 60193-3754
Phone (630) 339-3688
Other providers in Schaumburg, IL
- A & T Pharmacy Inc
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- A Blessing Home Health Care LLC
- A Wellness Physician Group LLC
- A&a Visionary Eyecare, Inc.
All providers in Schaumburg, 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 Sep 21, 2021. 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.