Active NPI
Alternacare Home Health S.C.
- Home Health Agency
- Bloomingdale, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010958
- Legal business name
- ALTERNACARE HOME HEALTH S.C.
- Practice address
- 1 Tiffany PT Ste 115
Bloomingdale, IL 60108-2915 - Phone
- (630) 629-7700
- Fax
- (630) 629-7701
- NPI assigned
- Jan 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amir Ahmed
- Title
- President
- Phone
- (630) 629-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010958 | IL | Primary |
Addresses
Primary practice location
1 Tiffany PT Ste 115
Bloomingdale, IL 60108-2915
Mailing address
1 Tiffany PT Ste 115
Bloomingdale, IL 60108-2915
Phone (630) 629-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010958 | Other | IL | STATE LICENSE |
Other names 1
- ALTERNACARE HOME HEALTH S C
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091104000309 | IL | Part A Provider - Home Health Agency | 6406994987 | Practice locations: Bloomingdale, IL |
Home health agency certification: CCN 148209
- Legal name
- ALTERNACARE HOME HEALTH S.C.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 8, 2011
- Last certification
- Jan 8, 2011
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Nov 21, 2007 in IL
- Enrollment address
- 1 Tiffany PT
Ste 115
Bloomingdale, IL 60108-2915
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Alternacare Home Health SC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 8, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1083239 | Alternacare Home Health SC | Certificate of waiver | Oct 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
1329 W Irving Park Rd
Ste 201
Bensenville, IL 60106
Phone (630) 629-7700
1 Tiffany Pt
Ste 115
Bloomingdale, IL 60108
Phone (630) 629-7700
2190 Gladstone Ct
Ste A
Glendale Heights, IL 60139
Phone (630) 295-9050
1920 S Highland Ave
Ste 115
Lombard, IL 60148
Phone (630) 629-7700
1340 Remington Rd
Ste S
Schaumburg, IL 60173
Phone (872) 710-5116
4825 Scott St
Ste 109
Schiller Park, IL 60176
Phone (847) 671-9898
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Amir Ahmed | 5% Or Greater Direct Ownership Interest | Feb 28, 2017 | 100% |
| Corporate Officer | Feb 28, 2017 | 100% | |
| Corporate Director | Feb 28, 2017 | 100% | |
| W-2 Managing Employee | Feb 28, 2017 | 100% | |
| Operational/Managerial Control | Feb 28, 2017 | 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.
-
- Foot & Ankle Surgery Podiatrist
- Ogema, MN
- NPI 1588969331
Affiliated clinicians 8
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Arlington Heights, IL
- NPI 1578728549
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1619114261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TIFFANY PT STE 115",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082915",
"telephone_number": "630-629-7700",
"fax_number": "630-629-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TIFFANY PT STE 115",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082915",
"telephone_number": "630-629-7700",
"fax_number": "630-629-7701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALTERNACARE HOME HEALTH S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-18",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-629-7700"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1010958",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALTERNACARE HOME HEALTH S C",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "ALTERNACARE HOME HEALTH S C",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Bloomingdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.