Active NPI
Medtec Home Health Agency, Inc.
- Home Health Agency
- Westchester, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010201
- 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, 2026
- 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
- Cynthia Prabhakar
- Title
- Administrator
- Phone
- (708) 681-2009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 1, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1017706 | Medtec Home Health Agency Inc | Certificate of waiver | Oct 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Cynthia Prabhakar | Corporate Director | Apr 1, 2007 | |
| W-2 Managing Employee | Apr 1, 2007 | ||
| Vijay Prabhakar | 5% Or Greater Direct Ownership Interest | Apr 1, 2007 | 25% |
| Corporate Director | Apr 1, 2007 | 25% | |
| Mario Diaz | 5% Or Greater Direct Ownership Interest | Apr 21, 2011 | 12.5% |
| Corporate Officer | Apr 21, 2011 | 12.5% | |
| Corporate Director | Apr 21, 2011 | 12.5% | |
| Maryann Valdez | 5% Or Greater Direct Ownership Interest | Oct 25, 2005 | 50% |
| Corporate Director | Oct 25, 2005 | 50% | |
| W-2 Managing Employee | May 22, 2008 | 50% | |
| Operational/Managerial Control | May 22, 2008 | ||
| Olivia Diaz | 5% Or Greater Direct Ownership Interest | Feb 5, 2009 | 12.5% |
| Corporate Director | Feb 5, 2009 | 12.5% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Primary Care Nurse Practitioner
- Park Ridge, IL
- NPI 1891156444
Home health agency
-
- Adult Health Nurse Practitioner
- Northbrook, IL
- NPI 1316251176
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.