Active NPI
Guardian Home Health Services, Inc.
- Home Health Agency
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010780
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010780 | Other | IL | ILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Incorporated
- Jun 6, 2006 in IL
- Enrollment address
- 7370 N Lincoln Ave
Ste C
Lincolnwood, IL 60712
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Lion'S Heart Home Health Inc
- Ownership
- Proprietary
- Certified
- Mar 17, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 14D1084589 | Guardian Home Health Services | Certificate of waiver | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jose Cruz | Corporate Director | Jul 1, 2012 | |
| W-2 Managing Employee | Jul 1, 2012 | ||
| Lynette Astete | W-2 Managing Employee | Jul 5, 2011 | |
| Mohammed a Aleem | 5% Or Greater Direct Ownership Interest | Jun 15, 2020 | 100% |
| Corporate Officer | May 15, 2020 | 100% | |
| W-2 Managing Employee | May 15, 2020 | 100% | |
| Operational/Managerial Control | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.