Organization Active NPI

Special Home Health Care LLC

  • Home Health Agency
  • Palos Heights, IL
National Provider Identifier
1699343129
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 11, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 148397
Overall star rating
2 of 5
Ownership
-
Certified
Dec 13, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
14D2265313Special Home Health Care LLC13303 S Ridgeland Ave - Unit C, Palos Heights, IL 60463Certificate of waiverJul 25, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Ahmad K Agha Individual Corporate DirectorPresident/Treasurer Feb 18, 2021 50%
W-2 Managing EmployeePresident/Treasurer Feb 18, 2021 50%
Joliet Sleep Center Inc Organization, Joliet, IL Corporation 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.

Practitioners & affiliated clinicians

Practitioners 1

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

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": "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

Sources for this page

Verify at the official NPI Registry.