Organization Active NPI

Alternacare Home Health S.C.

  • Home Health Agency
  • Bloomingdale, IL
National Provider Identifier
1619114261
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010958 Issued in IL
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

Updated by the provider on Dec 20, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1010958OtherILSTATE LICENSE

Other names 1

  • ALTERNACARE HOME HEALTH S C Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 SCCCN 148209 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jan 8, 2011
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
14D1083239Alternacare Home Health SC1 Tiffany Pointe - Ste 115, Bloomingdale, IL 60108Certificate of waiverOct 29, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Amir Ahmed Individual 5% Or Greater Direct Ownership InterestPresident Feb 28, 2017 100%
Corporate OfficerPresident, VP, Secretary, Treasurer Feb 28, 2017 100%
Corporate DirectorBoard Member Feb 28, 2017 100%
W-2 Managing EmployeeAd; Feb 28, 2017 100%
Operational/Managerial ControlPresident, VP, Secretary,Treasurer, 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.

Affiliated clinicians 8

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": "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

Verify at the official NPI Registry.