Active NPI
Home Health Near Me LLC
- Home Health Agency
- Schaumburg, IL
National Provider Identifier
1619684230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Overall star rating
- Ownership
- -
- Certified
- May 15, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Adil Siddiqui | 5% Or Greater Direct Ownership Interest | Oct 26, 2022 | 50% |
| General Partnership Interest | Oct 26, 2022 | 50% | |
| Operational/Managerial Control | Oct 26, 2022 | 50% | |
| Syed Ahmed | 5% Or Greater Direct Ownership Interest | Oct 26, 2022 | 50% |
| General Partnership Interest | Oct 26, 2022 | 50% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.