Organization Active NPI

Gold Health Home Care Corp

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1700876950
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GOLD HEALTH HOME CARE CORP
Practice address
2720 S River Rd Ste 130
Des Plaines, IL 60018-4110
Phone
(224) 470-6107
Fax
(847) 972-1808
NPI assigned
Oct 27, 2005
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Melanie Simplina Onal
Title
Agency Administrator
Phone
(224) 470-6107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2720 S River Rd Ste 130
Des Plaines, IL 60018-4110

Mailing address

2720 S River Rd Ste 130
Des Plaines, IL 60018-4110
Phone (224) 470-6107

Other identifiers 1

IdentifierTypeStateIssuer
1011877MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030808000000 IL Part A Provider - Home Health Agency 2264343847 Practice locations: Des Plaines, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700876950. Details of each certification follow.

Home health agency certification: CCN 147749

Legal name
GOLD HEALTH HOME CARE CORP
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 25, 2003
Last certification
Aug 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 5, 2003 in IL
Enrollment address
2720 S River Rd
Ste 130
Des Plaines, IL 60018-4110

Care Compare: Home health agency

Medicare Care Compare
Listed as
Gold Health Home Care CorpCCN 147749 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Sep 25, 2003
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
14D1011633Gold Health Home Care Corp2720 S River Rd - Ste 130, Des Plaines, IL 60018Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

6160 N Cicero Ave
Ste 315
Chicago, IL 60646

4433 W Touhy Ave
Ste 406
Lincolnwood, IL 60712

7350 N Cicero Ave
Ste 2
Lincolnwood, IL 60712
Phone (847) 972-1780

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
Everlasting Home Health Services, Inc Organization, Des Plaines, IL Created for acquisition, Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 4, 2016 100%
5% Or Greater Indirect Ownership Interest May 4, 2016
Operational/Managerial Control May 4, 2016 100%
Melanie Onal Individual Corporate OfficerAdminsitrator Jun 1, 2024
W-2 Managing EmployeeAd; Mar 1, 2024
Operational/Managerial Control Mar 1, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1700876950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 130",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184110",
            "telephone_number": "224-470-6107",
            "fax_number": "847-972-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD STE 130",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184110",
            "telephone_number": "224-470-6107",
            "fax_number": "847-972-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD HEALTH HOME CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "ONAL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "SIMPLINA",
        "authorized_official_title_or_position": "AGENCY ADMINISTRATOR",
        "authorized_official_telephone_number": "224-470-6107"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011877",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.