Nightengale of Chicago, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1004621 Issued in IL

Legal business name

NIGHTENGALE OF CHICAGO, INC.

Practice address

11716 S Western Ave
Chicago, IL 60643-4732

Phone

(773) 445-0366

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Aasia Khan

Title

Ceo/Administrator

Phone

(773) 445-2378

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147498

Legal name

NIGHTENGALE OF CHICAGO, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 11, 1991

Last certification

Jan 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 26, 1989 in IL

Enrollment address

11716 S Western Ave
Chicago, IL 60643-4732

Listed as

Nightengale of Chicago Inc.CCN 147498

Ownership

Proprietary

Certified

Mar 11, 1991

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 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Carolina Ayala, PA-C

  • Physician Assistant
  • Chicago, IL
  • NPI 1689172835

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1669413167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434732",
            "telephone_number": "773-445-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606434732",
            "telephone_number": "773-445-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTENGALE OF CHICAGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AASIA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "773-445-2378",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Niewiara
• Mary M Niewinski, MS, RD, LDN
• Timothy B Niewold, MD
• Susan E. Niezgoda, APN,CNS,PMHNP
• Night Owl Therapy, PLLC
• Armani Renee Nightengale, CRC, LCPC
• Laura Agnes Niiro, M.D.
• Karan Nijhawan, MD
• Vinay Nijhawan, MD
• Ailda Nika, M.D.

• All providers in Chicago, IL
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.