Organization Active NPI

Medtec Home Health Agency, Inc.

  • Home Health Agency
  • Westchester, IL
National Provider Identifier
1548375447
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010201 Issued in IL
Legal business name
MEDTEC HOME HEALTH AGENCY, INC.
Doing business as
Medtec Home Health Agency Inc.
Practice address
10001 W Roosevelt Rd Ste 209
Westchester, IL 60154-2600
Phone
(708) 681-2009
Fax
(708) 575-2166
NPI assigned
Aug 20, 2006
Last updated
Apr 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Cynthia Prabhakar
Title
Administrator
Phone
(708) 681-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010201 IL Primary

Addresses

Primary practice location

10001 W Roosevelt Rd Ste 209
Westchester, IL 60154-2600

Mailing address

10001 W Roosevelt Rd Ste 209
Westchester, IL 60154-2600
Phone (708) 681-2009

Other names 1

  • Medtec Home Health Agency Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051005001033 IL Part A Provider - Home Health Agency 0345159976 Practice locations: Northbrook, IL; Westchester, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548375447. Details of each certification follow.

Home health agency certification: CCN 147739

Legal name
MEDTEC HOME HEALTH AGENCY, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2003
Last certification
May 27, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 26, 2002 in IL
Enrollment address
10001 W Roosevelt Rd
Ste 209
Westchester, IL 60154-2600

Care Compare: Home health agency

Medicare Care Compare
Listed as
Medtec Home Health Agency, IncCCN 147739 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jul 1, 2003
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
14D1017706Medtec Home Health Agency Inc10001 Roosevelt Rd - Ste 209, Westchester, IL 60154Certificate of waiverOct 1, 2027

National Provider Directory

National Provider Directory

Locations

3605 Woodhead Dr
Ste 110A
Northbrook, IL 60062
Phone (708) 781-2009

10001 W Roosevelt Rd
Ste 209
Westchester, IL 60154
Phone (708) 681-2009

10001 W Roosevelt Rd
Ste 306
Westchester, IL 60154
Phone (708) 681-2009

1127 S Mannheim Rd
Ste 214
Westchester, IL 60154
Phone (708) 681-2009

1127 S Mannheim Rd
Ste 311
Westchester, IL 60154
Phone (708) 681-2009

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Cynthia Prabhakar Individual Corporate DirectorBoard Member Apr 1, 2007
W-2 Managing EmployeeAd; Apr 1, 2007
Vijay Prabhakar Individual 5% Or Greater Direct Ownership Interest Apr 1, 2007 25%
Corporate DirectorBoard Member Apr 1, 2007 25%
Mario Diaz Individual 5% Or Greater Direct Ownership InterestPresident Apr 21, 2011 12.5%
Corporate Officer Apr 21, 2011 12.5%
Corporate Director Apr 21, 2011 12.5%
Maryann Valdez Individual 5% Or Greater Direct Ownership InterestCeo / Director of Nursing Oct 25, 2005 50%
Corporate DirectorCeo / Director of Nursing Oct 25, 2005 50%
W-2 Managing EmployeeCeo / Director of Nursing May 22, 2008 50%
Operational/Managerial Control May 22, 2008
Olivia Diaz Individual 5% Or Greater Direct Ownership Interest Feb 5, 2009 12.5%
Corporate DirectorBoard Member Feb 5, 2009 12.5%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1548375447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W ROOSEVELT RD STE 209",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542600",
            "telephone_number": "708-681-2009",
            "fax_number": "708-575-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 W ROOSEVELT RD STE 209",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542600",
            "telephone_number": "708-681-2009",
            "fax_number": "708-575-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTEC HOME HEALTH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "PRABHAKAR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-681-2009"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medtec Home Health Agency Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westchester, IL

Sources for this page

Verify at the official NPI Registry.