Organization Active NPI

Premier Point Home Health, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1609046242
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010827 Issued in IL
Legal business name
PREMIER POINT HOME HEALTH, INC.
Practice address
4701 N Sheridan Rd
Chicago, IL 60640-5021
Phone
(773) 275-8390
Fax
(773) 275-8395
NPI assigned
Mar 11, 2008
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Mr. Lanre A. Shomade, MBA
Title
President
Phone
(773) 275-8390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010827 IL Primary
Infusion Therapy Clinic/Center 261QI0500X NU

Addresses

Primary practice location

4701 N Sheridan Rd
Chicago, IL 60640-5021

Mailing address

4701 N Sheridan Rd
Chicago, IL 60640-5021
Phone (773) 275-8390

Other names 1

  • Premier Point Home Health, NFP Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080613000566 IL Part A Provider - Home Health Agency 5698846921 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609046242. Details of each certification follow.

Home health agency certification: CCN 148025

Legal name
PREMIER POINT HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 4, 2009
Last certification
Jul 22, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 2, 2012 in IL
Enrollment address
4701 N Sheridan Road
Chicago, IL 60640-5021

Care Compare: Home health agency

Medicare Care Compare
Listed as
Premier Point Home Health, IncCCN 148025 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 4, 2009
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
14D1077753Premier Point Home Health4701 N Sheridan Road, Chicago, IL 60640Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

4700 N Sheridan Rd
Chicago, IL 60640
Phone (773) 275-8390

4701 N Sheridan Rd
Chicago, IL 60640
Phone (773) 275-8390

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
Lanre a Shomade Individual 5% Or Greater Direct Ownership InterestPresident and Secretary May 15, 2007 100%
Corporate OfficerPresident and Secretary May 12, 2008 100%
Corporate DirectorPresident and Secretary May 12, 2008 100%
W-2 Managing EmployeePresident and Secretary May 12, 2008 100%

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1609046242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405021",
            "telephone_number": "773-275-8390",
            "fax_number": "773-275-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405021",
            "telephone_number": "773-275-8390",
            "fax_number": "773-275-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER POINT HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "SHOMADE",
        "authorized_official_first_name": "LANRE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-275-8390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010827",
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Point Home Health, NFP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.