NPIMap

Organization Active NPI

Apollo Home Care Inc.

  • Home Health Agency
  • Downers Grove, IL
National Provider Identifier
1538324702
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010901 Issued in IL
Legal business name
APOLLO HOME CARE INC.
Practice address
3030 Finley Road, Suite #140
Downers Grove, IL 60515-1179
Phone
(630) 541-8238
Fax
(630) 541-8790
NPI assigned
Jul 27, 2008
Last updated
Mar 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Mr. Tariq Chaudhry
Title
Administrator/Owner
Phone
(630) 541-8238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010901 IL Primary

Addresses

Primary practice location

3030 Finley Road, Suite #140
Downers Grove, IL 60515-1179

Mailing address

3030 Finley Road, Suite #140
Downers Grove, IL 60515-1179
Phone (630) 541-8238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081229000633 IL Part A Provider - Home Health Agency 6901968973 Practice locations: Downers Grove, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1538324702. Details of each certification follow.

Home health agency certification: CCN 148078

Legal name
APOLLO HOME CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 14, 2009
Last certification
Jun 17, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 25, 2007 in IL
Enrollment address
3030 Finley Road
Suite 140
Downers Grove, IL 60515-1179

Care Compare: Home health agency

Medicare Care Compare
Listed as
Apollo Home Care, IncCCN 148078 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 14, 2009
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
14D1076975Apollo Home Care Inc3030 Finley Rd, Ste 140, Downers Grove, IL 60515Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory

Locations

5901 N Cicero Ave
Ste 102
Chicago, IL 60646
Phone (773) 728-6820

3030 Finley Rd
Ste 140
Downers Grove, IL 60515
Phone (630) 541-8238

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
Angela C Nwoko Individual 5% Or Greater Direct Ownership Interest Nov 9, 2015 50%
Corporate DirectorSecretary Nov 9, 2015 50%
W-2 Managing EmployeeSecretary Nov 9, 2015
Operational/Managerial ControlSecretary Nov 9, 2015 50%
Augustine U Nwoko Individual 5% Or Greater Direct Ownership Interest Nov 9, 2015 50%
Corporate DirectorPresident Nov 9, 2015 50%
W-2 Managing EmployeePresident Nov 9, 2015 50%
Operational/Managerial ControlPresident Nov 9, 2015 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 4

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": "1217116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1538324702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 FINLEY ROAD, SUITE #140",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151179",
            "telephone_number": "630-541-8238",
            "fax_number": "630-541-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 FINLEY ROAD, SUITE #140",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151179",
            "telephone_number": "630-541-8238",
            "fax_number": "630-541-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-27",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "630-541-8238",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.