Organization Active NPI

Alpha Home Health Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1639378359
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010700 Issued in IL
Legal business name
ALPHA HOME HEALTH INC
Practice address
5901 N Cicero Ave
Suite 203
Chicago, IL 60646-5717
Phone
(773) 685-2220
Fax
(773) 685-2228
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Mrs. Elizabeth Cambay Regacho, R.N.
Title
Administrator/ Agency Supervisor
Phone
(773) 685-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010700 IL Primary

Addresses

Primary practice location

5901 N Cicero Ave
Suite 203
Chicago, IL 60646-5717

Mailing address

5901 N Cicero Ave
Suite 203
Chicago, IL 60646-5717
Phone (773) 685-2220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080219000195 IL Part A Provider - Home Health Agency 4880777531 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639378359. Details of each certification follow.

Home health agency certification: CCN 148094

Legal name
ALPHA HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 8, 2009
Last certification
Sep 8, 2009
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 2, 2006 in IL
Enrollment address
6225 N. Milwaukkee
Chicago, IL 60646-3730

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alpha Home Health, IncCCN 148094 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Sep 8, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Alpha Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5901 N Cicero Ave
Ste 203
Chicago, IL 60646
Phone (773) 685-2220

6225 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 685-2220

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
John R Regacho Individual W-2 Managing Employee Dec 22, 2014
Elbert Regacho Individual 5% Or Greater Direct Ownership Interest Feb 2, 2006 50%
Corporate Director Feb 2, 2006
W-2 Managing Employee Feb 2, 2006
Elizabeth Regacho Individual 5% Or Greater Direct Ownership Interest Feb 2, 2006 50%
Corporate Director Feb 2, 2006
W-2 Managing Employee Feb 2, 2006

Practitioners & affiliated clinicians

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.

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1639378359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465717",
            "telephone_number": "773-685-2220",
            "fax_number": "773-685-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465717",
            "telephone_number": "773-685-2220",
            "fax_number": "773-685-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "REGACHO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "CAMBAY",
        "authorized_official_title_or_position": "ADMINISTRATOR/ AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "773-685-2220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.