Dinamic Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010797 Issued in IL

Legal business name

DINAMIC HEALTH CARE, LLC

Practice address

353 W Lincoln Hwy
Chicago Heights, IL 60411-2555

Phone

(708) 832-9908

Fax

(708) 832-9935

NPI assigned

Nov 14, 2007

Last updated

Sep 12, 2018By 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

Vernie N Nelson, RN

Title

Administrator

Phone

(708) 983-4623

Specialties & licenses 1

Addresses

Other names 1

• DINAMIC Health Care Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619158011. Details of each certification follow.

• CCN 148040 Home health agency · Active · Details

Home health agency certification: CCN 148040

Legal name

DINAMIC HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 5, 2009

Last certification

Mar 25, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

in IL

Enrollment address

353 W Lincoln Hwy
Chicago Heights, IL 60411-2555

Listed as

Dinamic Health Care, LLCCCN 148040 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Mar 5, 2009

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 1

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

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.

• Diversity Health Crae, Inc

  • Home Health Agency
  • Evergreen Park, IL
  • NPI 1093113946
  NPPES parent name

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.

• Vernice Nicole Nelson, R.N.

  • Home Health Agency
  • Calumet City, IL
  • NPI 1770717357
  NPD

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1619158011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 W LINCOLN HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112555",
            "telephone_number": "708-832-9908",
            "fax_number": "708-832-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 W LINCOLN HWY",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112555",
            "telephone_number": "708-832-9908",
            "fax_number": "708-832-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINAMIC HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "VERNIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-983-4623",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DINAMIC Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DINAMIC Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Chicago Heights, IL
• Providers in Chicago Heights, 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 Sep 12, 2018; 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.