Adair Associates, Inc.
Organization Active NPI Home Health Agency · Chesterton, IN
NPI 1669540332 · NPPES record last updated Aug 30, 2024
Key facts
- NPI
- 1669540332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 06-008247-1 (IN)
- Legal business name
- ADAIR ASSOCIATES, INC.
- Practice address
- 751 E Porter Ave
Suite #9
Chesterton, IN 46304-9110 - Phone
- (219) 395-9100
- Fax
- (219) 395-9210
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Abiturab 'Abi' Boxwalla
- Title
- Authorized Official
- Phone
- (708) 825-4060
Owners & managing parties with NPI records 1
Member of 1
Facilities with the same owner 1
Affiliated clinicians 19
-
Faleh Atassi, M.D.
-
Derek Scott Gasper, D.O
-
Nadeem U Kamran, M.D.
-
Malek Maatouk, M.D.
-
Hector Juan Marchand Jr., M.D.
-
Michael F Mirochna, M.D.
-
Krista M Molina, M.D.
-
Emily Marie Waldkoetter, PA-C
-
Joshua William Ancel Wood, DNP, FNP-C
-
Charles Paul Zakutansky, FNP-C
-
Laura D Cannon, FNP-C
Medicare Care Compare: Home health agency
- Listed as
- At Home Quality Care
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Aug 12, 1996
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D0916684 | Adair Assoc Inc-D/B/a at Home Quality Care | Certificate of waiver | Jun 26, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Home health agency certification: CCN 157477
- Legal name
- ADAIR ASSOCIATES, INC.
- Doing business as
- AT HOME QUALITY CARE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 12, 1996
- Last certification
- Jul 26, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Sep 5, 1995 in IN
- Enrollment address
- 751 East Porter Ave
Ste 9
Chesterton, IN 46304-9110
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Aymen Tyebjee |
5% Or Greater Indirect Ownership Interest | Nov 1, 2012 | 11.5% |
| Signature Homecare Services, Inc., |
5% Or Greater Direct Ownership Interest | Nov 1, 2012 | 100% |
| Operational/Managerial Control | Nov 1, 2012 | 100% | |
| Insiyah Tyebjee |
5% Or Greater Indirect Ownership Interest | Nov 1, 2012 | 5.75% |
| Mohammad Millwala |
5% Or Greater Indirect Ownership Interest | Nov 1, 2012 | 17.25% |
| Francisco Luz |
5% Or Greater Indirect Ownership Interest |
Oct 1, 2016 | 20.03% |
| Corporate Officer |
Oct 1, 2016 | 20.03% | |
| Abiturab Boxwalla |
5% Or Greater Indirect Ownership Interest | Oct 1, 2016 | 38.93% |
| Corporate Officer |
Dec 29, 2023 | 38.92% | |
| Corporate Director |
Oct 1, 2016 | 38.93% | |
| W-2 Managing Employee |
Oct 1, 2016 | 38.92% | |
| Dawood I Burhani TR |
5% Or Greater Indirect Ownership Interest | Dec 29, 2023 | 10% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120426000662 | IN | Part a Provider - Home Health Agency | 2264694876 | Practice locations: Chesterton, IN |
National Provider Directory
Locations
7820 Graphics Dr
Ste 201
Tinley Park, IL 60477
Phone (773) 685-9025
751 E Porter Ave
Ste 9
Chesterton, IN 46304
Phone (219) 395-1606
502 Wall St
Ste 102
Valparaiso, IN 46383
Phone (219) 531-0548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 06-008247-1 | IN | Yes |
Addresses
Primary practice location
751 E Porter Ave
Suite #9
Chesterton, IN 46304-9110
Mailing address
7820 Graphic Dr Ste 201
Tinley Park, IL 60477-6278
Phone (708) 307-8048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200083700 | Medicaid | IN |
Other names
- At Home Quality Care
Other providers in Chesterton, IN
- A Better Smile,Inc
- Mollie Ann Abouzedan
- Hassan Abu-Hashish
- Accelerated Rehabilitation Centers LTD
- Adams County Memorial Hospital
- Douglas Scott Adams
- Jill Lavonne Adams
- Joseph W Adams Jr.
- Lily Adney
All providers in Chesterton, IN · Home Health Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.