Organization Active NPI

Support Home Health Care LLC

  • Home Health Agency
  • Hoffman Estates, IL
National Provider Identifier
1639747470
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SUPPORT HOME HEALTH CARE LLC
Practice address
2300 Barrington Rd Ste 400
Hoffman Estates, IL 60169-2036
Phone
(224) 254-4393
Fax
(888) 494-1364
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Kate OnyiborNPI 1801895701
Title
President
Phone
(224) 254-4393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2300 Barrington Rd Ste 400
Hoffman Estates, IL 60169-2036

Mailing address

2300 Barrington Rd Ste 400
Hoffman Estates, IL 60169-2036
Phone (224) 254-4393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220427003049 IL Part A Provider - Home Health Agency 1153718853 Practice locations: Hoffman Estates, IL

Home health agency certification: CCN 148400

Legal name
SUPPORT HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 28, 2023
Last certification
Mar 9, 2023
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 6, 2021 in IL
Enrollment address
2300 Barrington Rd
Ste 400
Hoffman Estates, IL 60169-2036

Care Compare: Home health agency

Medicare Care Compare
Listed as
Support Home Health Care LLCCCN 148400
Ownership
Proprietary
Certified
Mar 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2250787Support Home Health Care LLC2300 Barrington Rd - Ste 400, Hoffman Estates, IL 60169Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Kate a Onyibor Individual 5% Or Greater Direct Ownership Interest Jun 6, 2021 100%
Corporate DirectorPresident, Treasurer, Secretary Jun 6, 2021 75%
W-2 Managing EmployeePresident, Treasurer, Secretary Jun 6, 2021 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1639747470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BARRINGTON RD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692036",
            "telephone_number": "224-254-4393",
            "fax_number": "888-494-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BARRINGTON RD STE 400",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601692036",
            "telephone_number": "224-254-4393",
            "fax_number": "888-494-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "ONYIBOR",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-254-4393"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.