TSN Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TSN HOME HEALTH LLC

Practice address

2100 Sibley Blvd Ste 103
Calumet City, IL 60409-2153

Phone

(708) 360-3349

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Tameka Needham

Title

Owner

Phone

(708) 360-3349

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148395

Legal name

TSN HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 11, 2022

Last certification

Oct 26, 2022

Organization structure

LLCProprietary

Incorporated

Jul 22, 2021 in IL

Enrollment address

450 Prairie Ave
Ste 111
Calumet City, IL 60409-2125
HHA Branch

Listed as

TSN Home Health LLCCCN 148395

Overall star rating

1.5 of 5

Ownership

-

Certified

Nov 11, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ala Jaber Albazzaz, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Glen Ellyn, IL
  • NPI 1134362833

  Home health agency

  Care Compare affiliation
• Alejandro Rarang, M.D.

  • General Practice Physician
  • Chicago, IL
  • NPI 1063534121

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1558032508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SIBLEY BLVD STE 103",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092153",
            "telephone_number": "708-360-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SIBLEY BLVD STE 103",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092153",
            "telephone_number": "708-360-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TSN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "NEEDHAM",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-360-3349"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.

Verify at the official NPI Registry.