Active NPI
Special Home Health Care LLC
- Home Health Agency
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SPECIAL HOME HEALTH CARE LLC
- Practice address
- 13303 S Ridgeland Ave Unit C
Palos Heights, IL 60463-0020 - Phone
- (815) 595-4200
- NPI assigned
- Jun 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Worood Doleh
- Title
- Vice President/Alt Manager
- Phone
- (708) 262-0562
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
13303 S Ridgeland Ave Unit C
Palos Heights, IL 60463-0020
Mailing address
1600 Plainfield Rd
Joliet, IL 60435-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220711003607 | IL | Part A Provider - Home Health Agency | 6608256300 | Practice locations: Palos Heights, IL |
Home health agency certification: CCN 148397
- Legal name
- SPECIAL HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 13, 2022
- Last certification
- Dec 7, 2022
- Organization structure
- LLC
- Incorporated
- Feb 18, 2021 in IL
- Enrollment address
- 13303 S Ridgeland Ave
Unit C
Palos Heights, IL 60463-0020
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Special Home Health Care LLC
- Overall star rating
- Ownership
- -
- Certified
- Dec 13, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2265313 | Special Home Health Care LLC | Certificate of waiver | Jul 25, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Ahmad K Agha | Corporate Director | Feb 18, 2021 | 50% |
| W-2 Managing Employee | Feb 18, 2021 | 50% | |
| Joliet Sleep Center Inc | 5% Or Greater Direct Ownership Interest | Mar 19, 2002 | 100% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Pulmonary Disease Physician
- Morris, IL
- NPI 1376592717
Corporate Director, W-2 Managing Employee
-
- Sleep Medicine (Internal Medicine) Physician
- Joliet, IL
- NPI 1881920593
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Morris, IL
- NPI 1376592717
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Palos Heights, IL
- NPI 1912218272
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623369600000",
"number": "1699343129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PLAINFIELD RD",
"city": "JOLIET",
"state": "IL",
"postal_code": "604351902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13303 S RIDGELAND AVE UNIT C",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604630020",
"telephone_number": "815-595-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIAL HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A",
"authorized_official_last_name": "DOLEH",
"authorized_official_first_name": "WOROOD",
"authorized_official_title_or_position": "VICE PRESIDENT/ALT MANAGER",
"authorized_official_telephone_number": "708-262-0562"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
- Southwest Infectious Disease & Internal Medicine S C
- Southwest Neurological Consultants, PC
- Southwest Rehabilitation Consultants SC
- Southwest Rehabilitation, S.C.
- Special Home Care Services LLC
- Antoinette Sperelakis, M.D.
- Renee Spinella, PT, DPT, CERT MDT
- Stephen F Spontak, M.D.
- Kristina Marie Spychalski, MOTRL
- Nicholas Stanley Stamat, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.