Organization Active NPI

Home Health Near Me LLC

  • Home Health Agency
  • Schaumburg, IL
National Provider Identifier
1619684230
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH NEAR ME LLC
Practice address
200 W Higgins Rd Ste 321
Schaumburg, IL 60195-3734
Phone
(224) 829-0434
Fax
(224) 229-0957
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Adil Siddiqui
Title
Owner, Administrator
Phone
(630) 313-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

200 W Higgins Rd Ste 321
Schaumburg, IL 60195-3734

Mailing address

3 Stonegate LN
Streamwood, IL 60107-1685
Phone (630) 313-9786

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@homehealthnear.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230523001846 IL Part A Provider - Home Health Agency 0345606042 Practice locations: Arlington Heights, IL

Home health agency certification: CCN 148415

Legal name
HOME HEALTH NEAR ME LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 15, 2024
Last certification
Apr 4, 2024
Organization structure
LLCProprietary
Incorporated
Oct 26, 2022 in IL
Enrollment address
415 W Golf Rd
Suite 55E
Arlington Heights, IL 60005

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Near Me LLCCCN 148415
Overall star rating
2.5 of 5
Ownership
-
Certified
May 15, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

415 W Golf Rd
Ste 55E
Arlington Heights, IL 60005
Phone (224) 829-0434

200 W Higgins Rd
Ste 321
Schaumburg, IL 60195
Phone (224) 829-0434

Ownership & related parties

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.

NameRoleSinceShare
Adil Siddiqui Individual 5% Or Greater Direct Ownership InterestPresident Oct 26, 2022 50%
General Partnership InterestPresident Oct 26, 2022 50%
Operational/Managerial ControlAdministrator Oct 26, 2022 50%
Syed Ahmed Individual 5% Or Greater Direct Ownership InterestSecretary Oct 26, 2022 50%
General Partnership InterestSecretary Oct 26, 2022 50%
Operational/Managerial ControlDirector of Nurse Oct 26, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1619684230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STONEGATE LN",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071685",
            "telephone_number": "630-313-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W HIGGINS RD STE 321",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953734",
            "telephone_number": "224-829-0434",
            "fax_number": "224-229-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH NEAR ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "ADIL",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "630-313-9786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@homehealthnear.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 W Higgins Rd Ste 321",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601953734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.