NPIMap

Organization Active NPI

1St Assist Home Healthcare, LLC

  • Home Health Agency
  • Schaumburg, IL
National Provider Identifier
1528077211
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010496 Issued in 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
Last updated
Sep 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cherille Manila
Title
Finance Officer / Partner
Phone
(847) 922-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010496 IL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060411000085 IL Part A Provider - Home Health Agency 4981613510 Practice locations: Schaumburg, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528077211. Details of each certification follow.

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
LLCProprietary
Incorporated
Apr 14, 2005 in IL
Enrollment address
1019 West Wise Road
Suite 200
Schaumburg, IL 60193-3754

Care Compare: Home health agency

Medicare Care Compare
Listed as
1St Assist Home Healthcare, LLCCCN 147909 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Jan 19, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D10547671St Assist Home Healthcare L L C1019 W Wise Rd, Ste 200, Schaumburg, IL 60193Certificate of waiverMay 30, 2028

National Provider Directory

National Provider Directory

Locations

5519 N Cumberland Ave
Ste 1012
Chicago, IL 60656

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pamela Canete Individual 5% Or Greater Direct Ownership Interest Jan 1, 2014 50%
General Partnership Interest Jan 1, 2024 33.33%
Corporate DirectorAdministrator Jan 1, 2014 50%
W-2 Managing Employee Apr 14, 2005
Apollo Demayo Individual 5% Or Greater Direct Ownership InterestOwner Jan 1, 2024 33.33%
General Partnership Interest Jan 1, 2024 33.33%
Cherille Manila Individual 5% Or Greater Direct Ownership InterestAgency Supervisor Jan 1, 2014 50%
General Partnership Interest Jan 1, 2024 33.33%
Corporate Director Jan 1, 2014
W-2 Managing Employee Apr 14, 2005

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1528077211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 W WISE RD",
            "address_2": "SUITE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933754",
            "telephone_number": "630-339-3688",
            "fax_number": "630-339-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 W WISE RD",
            "address_2": "SUITE 200",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933754",
            "telephone_number": "630-339-3688",
            "fax_number": "630-339-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST ASSIST HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "MANILA",
        "authorized_official_first_name": "CHERILLE",
        "authorized_official_title_or_position": "FINANCE OFFICER / PARTNER",
        "authorized_official_telephone_number": "847-922-1992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.