Tru-Care Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010642 Issued in IL

Legal business name

TRU-CARE HOME HEALTH, INC.

Practice address

9933 Lawler Ave Ste 346
Skokie, IL 60077-3783

Phone

(847) 329-0066

Fax

(847) 915-6548

NPI assigned

Jan 18, 2007

Last updated

Mar 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Domerlin Sodusta, DPT

Title

Ceo

Phone

(847) 329-0066

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588717151. Details of each certification follow.

• CCN 148002 Home health agency · Active · Details

Home health agency certification: CCN 148002

Legal name

TRU-CARE HOME HEALTH, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2008

Last certification

Sep 13, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Mar 8, 2006 in IL

Enrollment address

7341 W Talcott Ave
Chicago, IL 60631-3706

Listed as

Tru-Care Home Health, IncCCN 148002 · All quality measures

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Sep 15, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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 6

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

• Husam Balkhy

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chicago, IL
  • NPI 1790750891

  Home health agency

  Care Compare affiliation
• Valluvan Jeevanandam

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chicago, IL
  • NPI 1285738344

  Home health agency

  Care Compare affiliation
• Hiroto Kitahara

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chicago, IL
  • NPI 1760930028

  Home health agency

  Care Compare affiliation
• Katie Lynn Mena, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1790001329

  Home health agency

  Care Compare affiliation
• Miroslav Peychev Peev, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chicago, IL
  • NPI 1639517006

  Home health agency

  Care Compare affiliation
• Aisha Uraizee

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1891358701

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1588717151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 346",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773783",
            "telephone_number": "847-329-0066",
            "fax_number": "847-915-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 346",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773783",
            "telephone_number": "847-329-0066",
            "fax_number": "847-915-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRU-CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "SODUSTA",
        "authorized_official_first_name": "DOMERLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-329-0066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010642",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Tran
• Cynthia Trawinski, PSYD
• Tri Counseling Group LTD.
• Tri Physical Therapy
• Emily Christine Tritz, OTD, OTR/L
• Connie Leann Trujillo, MSW, LCSW
• Cathy Tschannen, MD
• Vasiliki Tsoflias, PSY.D.
• Frank F. Tu, MD, MPH
• Lynn Marie Tucker, RDN, LDN, CDE

• Home Health Agency in Skokie, IL
• Providers in Skokie, 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 Mar 6, 2024; 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.