Select Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SELECT HOME CARE, INC.

Practice address

9933 Lawler Ave Ste 105C
Skokie, IL 60077-3753

Phone

(773) 338-2230

Fax

(773) 338-2233

NPI assigned

Nov 21, 2008

Last updated

Sep 19, 2024By 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

Mr. Jan Maru Quinsaat

Title

Administrator / Authorized Official

Phone

(773) 338-2230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639324429. Details of each certification follow.

• CCN 148091 Home health agency · Active · Details

Home health agency certification: CCN 148091

Legal name

SELECT HOME CARE, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 2, 2009

Last certification

Aug 17, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

9933 Lawler Ave
Ste 525a
Skokie, IL 60077-3703
HHA Branch

Listed as

Select Home Care, IncCCN 148091 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Sep 2, 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 4

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Healthcare Plus Corporation

  • Home Health Agency
  • Rolling Meadows, IL
  • NPI 1376684944

  M2K of Chicago LLC

  CMS ownership

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1639324429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 105C",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773753",
            "telephone_number": "773-338-2230",
            "fax_number": "773-338-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 105C",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773753",
            "telephone_number": "773-338-2230",
            "fax_number": "773-338-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "QUINSAAT",
        "authorized_official_first_name": "JAN MARU",
        "authorized_official_title_or_position": "ADMINISTRATOR / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-338-2230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Skokie, IL
• Providers in Skokie, 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 19, 2024; 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.