Organization Active NPI

Elite Home Healthcare Solutions, LLC

  • Home Health Agency
  • Oak Lawn, IL
National Provider Identifier
1568743516
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HOME HEALTHCARE SOLUTIONS, LLC
Practice address
4606B W 103Rd St
Oak Lawn, IL 60453-4719
Phone
(847) 242-9786
NPI assigned
Sep 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Authorized official

Name
Mr. Freddy Macedo Martinez
Title
Assistant Administrator
Phone
(847) 242-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4606B W 103Rd St
Oak Lawn, IL 60453-4719

Mailing address

4606B W 103Rd St
Oak Lawn, IL 60453-4719
Phone (847) 242-9786

National Provider Directory

National Provider Directory

Locations

707 Skokie Blvd
Ste 656
Northbrook, IL 60062

4606 W 103rd St
#B
Oak Lawn, IL 60453
Phone (708) 872-7328

NPI Registry JSON

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1568743516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606B W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534719",
            "telephone_number": "847-242-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606B W 103RD ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534719",
            "telephone_number": "847-242-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-05",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_middle_name": "MACEDO",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "847-242-9786",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.