Organization Active NPI

Healthy Health Home Health Inc

  • Home Health Agency
  • Matteson, IL
National Provider Identifier
1700113198
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEALTHY HEALTH HOME HEALTH INC
Practice address
4747 Lincoln Mall Dr Ste 260
Matteson, IL 60443-3812
Phone
(708) 283-0202
Fax
(708) 283-0262
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Gertrude C Ajaere, RN
Title
Admnistrator
Phone
(847) 568-1330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4747 Lincoln Mall Dr Ste 260
Matteson, IL 60443-3812

Mailing address

4747 Lincoln Mall Dr Ste 260
Matteson, IL 60443-3812
Phone (708) 283-0202

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100223000212 IL Part A Provider - Home Health Agency 5890839229 Practice locations: Matteson, IL

Home health agency certification: CCN 148240

Legal name
HEALTHY HEALTH HOME HEALTH INC
Doing business as
CHIZYRISE MEDICAL TRANSPORT INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 18, 2011
Last certification
May 18, 2011
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 26, 2009 in IL
Enrollment address
4747 Lincoln Mall Dr
Ste 260
Matteson, IL 60443-3812

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healthy Health Home Health, IncCCN 148240
Ownership
Proprietary
Certified
May 18, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
14D1107478Healthy Health Home Health Inc4747 Lincoln Mall Dr, Ste 260, Matteson, IL 60443Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory

Locations

7331 N Lincoln Ave
Ste 197
Lincolnwood, IL 60712
Phone (847) 568-1330

4747 Lincoln Mall Dr
Ste 260
Matteson, IL 60443
Phone (708) 283-0202

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Chizyrise Medical Transport Inc Organization, Flossmoor, IL Created for acquisition, Corporation 5% Or Greater Direct Ownership Interest Jun 4, 2024 100%
Gertrude Ajaere Individual 5% Or Greater Direct Ownership Interest Dec 21, 2009
Corporate Director Dec 21, 2009
W-2 Managing Employee Dec 21, 2009
Chiazor Okafor Individual W-2 Managing Employee Dec 21, 2009
Prince Ajaere Individual Corporate Director Dec 21, 2009

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1700113198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 260",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433812",
            "telephone_number": "708-283-0202",
            "fax_number": "708-283-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 LINCOLN MALL DR STE 260",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433812",
            "telephone_number": "708-283-0202",
            "fax_number": "708-283-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEALTH HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "AJAERE",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "847-568-1330",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.