NPIMap

Organization Active NPI

Heritage Home Healthcare, Inc.

  • Home Health Agency
  • Skokie, IL
National Provider Identifier
1700950714
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE HOME HEALTHCARE, INC.
Practice address
4450 Oakton St
Skokie, IL 60076-3259
Phone
(847) 982-9862
Fax
(847) 676-1705
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Vilma Bacungan Tolentino
Title
Administrator
Phone
(847) 982-9862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4450 Oakton St
Skokie, IL 60076-3259

Mailing address

4450 Oakton St
Skokie, IL 60076-3259
Phone (847) 982-9862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060309000077 IL Part A Provider - Home Health Agency 1658388129 Practice locations: Skokie, IL

Home health agency certification: CCN 147894

Legal name
HERITAGE HOME HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 16, 2006
Last certification
Jan 10, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 3, 2004 in IL
Enrollment address
4450 Oakton Street
Skokie, IL 60076-3259

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heritage Home Health Care, IncCCN 147894 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Aug 16, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

6160 N Cicero Ave
Ste 300
Chicago, IL 60646
Phone (773) 205-9862

4450 Oakton St
Skokie, IL 60076
Phone (847) 982-9862

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
Jose Tolentino Individual 5% Or Greater Direct Ownership Interest May 28, 2009 50%
General Partnership Interest May 28, 2009
Corporate OfficerPresident May 28, 2009 50%
Corporate DirectorCeo May 28, 2009 50%
W-2 Managing EmployeeChief Financial Officer May 28, 2009 50%
Vilma Tolentino Individual 5% Or Greater Direct Ownership Interest Jun 3, 2004 50%
Corporate OfficerSecretary Jun 11, 2004 50%
Corporate DirectorBoard Member Jun 11, 2004 50%
W-2 Managing EmployeeAdministrator Jun 11, 2004 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1700950714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763259",
            "telephone_number": "847-982-9862",
            "fax_number": "847-676-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 OAKTON ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763259",
            "telephone_number": "847-982-9862",
            "fax_number": "847-676-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "TOLENTINO",
        "authorized_official_first_name": "VILMA",
        "authorized_official_middle_name": "BACUNGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-982-9862"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.