Organization Active NPI

Guardian Home Health Services, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1699939645
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010780 Issued in IL
Legal business name
GUARDIAN HOME HEALTH SERVICES, INC.
Practice address
7132 N Harlem Avenue
Suite 107
Chicago, IL 60631-1086
Phone
(773) 631-7975
Fax
(773) 631-7965
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Ms. Carmelita Patolot Mayer, R.N.
Title
President/Administrator
Phone
(773) 746-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010780 IL Primary

Addresses

Primary practice location

7132 N Harlem Avenue
Suite 107
Chicago, IL 60631-1086

Mailing address

7132 N Harlem Avenue
Suite 107
Chicago, IL 60631-1086
Phone (773) 631-7975

Other identifiers 1

IdentifierTypeStateIssuer
1010780OtherILILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000846 IL Part A Provider - Home Health Agency 0648348391 Practice locations: Lincolnwood, IL

Home health agency certification: CCN 148131

Legal name
GUARDIAN HOME HEALTH SERVICES, INC.
Doing business as
LION'S HEART HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 17, 2010
Last certification
Aug 24, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 6, 2006 in IL
Enrollment address
7370 N Lincoln Ave
Ste C
Lincolnwood, IL 60712
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lion'S Heart Home Health IncCCN 148131 · All quality measures
Ownership
Proprietary
Certified
Mar 17, 2010
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
14D1084589Guardian Home Health Services7370 N Lincoln Ave - Ste C, Lincolnwood, IL 60712Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

7132 N Harlem Ave
Ste 107
Chicago, IL 60631
Phone (773) 631-7975

7370 N Lincoln Ave
Ste C
Lincolnwood, IL 60712
Phone (847) 983-4881

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Jose Cruz Individual Corporate DirectorBoard Member Jul 1, 2012
W-2 Managing EmployeeAgency Supervisor Jul 1, 2012
Lynette Astete Individual W-2 Managing EmployeeOffice Manager Jul 5, 2011
Mohammed a Aleem Individual 5% Or Greater Direct Ownership Interest Jun 15, 2020 100%
Corporate OfficerCeo/ President May 15, 2020 100%
W-2 Managing Employee May 15, 2020 100%
Operational/Managerial ControlCeo/President May 15, 2020 100%

Practitioners & affiliated clinicians

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1699939645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7132 N HARLEM AVENUE",
            "address_2": "SUITE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311086",
            "telephone_number": "773-631-7975",
            "fax_number": "773-631-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7132 N HARLEM AVENUE",
            "address_2": "SUITE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311086",
            "telephone_number": "773-631-7975",
            "fax_number": "773-631-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "CARMELITA",
        "authorized_official_middle_name": "PATOLOT",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "773-746-4525",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE",
            "identifier": "1010780",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.