Organization Active NPI

First Class Home Health Inc

  • Home Health Agency
  • Bensenville, IL
National Provider Identifier
1588247381
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST CLASS HOME HEALTH INC
Practice address
601 Country Club Dr
Bensenville, IL 60106-1328
Phone
(877) 373-1252
Fax
(630) 422-1008
NPI assigned
Apr 30, 2021
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Phyllis SasuNPI 1003326430
Title
Owner/President/Agency Supervisor
Phone
(773) 474-3942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

601 Country Club Dr
Bensenville, IL 60106-1328

Mailing address

377 Tioga TRL
Wood Dale, IL 60191-2435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220908002474 IL Part A Provider - Home Health Agency 8820472970 Practice locations: Wood Dale, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588247381. Details of each certification follow.

Home health agency certification: CCN 148402

Legal name
FIRST CLASS HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 13, 2023
Last certification
Jun 30, 2023
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
in IL
Enrollment address
343 N Wood Dale Rd
Wood Dale, IL 60191-1578
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Class Home Health Inc.CCN 148402 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Jul 13, 2023
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
14D2285377First Class Home Health Inc343 N Wood Dale Rd, Wood Dale, IL 60191Certificate of waiverJul 10, 2027

National Provider Directory

National Provider Directory

Locations

601 Country Club Dr
Bensenville, IL 60106
Phone (877) 373-1252

601 Country Club Dr
Ste B
Bensenville, IL 60106
Phone (773) 474-3942

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Phyllis Sasu Perez Individual 5% Or Greater Direct Ownership Interest Jan 19, 2021 100%
Corporate Officer Jan 19, 2021 100%
Corporate DirectorOwner/President Jan 19, 2021
W-2 Managing EmployeeOwner/President Jan 19, 2021 100%
Operational/Managerial ControlOwner/President Jan 19, 2021 100%

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 6

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": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1588247381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 TIOGA TRL",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601912435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 COUNTRY CLUB DR",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601061328",
            "telephone_number": "877-373-1252",
            "fax_number": "630-422-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "SASU",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "773-474-3942"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensenville, IL

Sources for this page

Verify at the official NPI Registry.