NPIMap

Organization Active NPI

Avesena Inc.

Doing business as Avesena Home Health Care

  • Home Health Agency
  • Addison, IL
National Provider Identifier
1700964855
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AVESENA INC.
Doing business as
Avesena Home Health Care
Practice address
221 E Lake St
Suite 108
Addison, IL 60101-2888
Phone
(630) 833-2486
Fax
(630) 833-2487
NPI assigned
Nov 2, 2006
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Mohammad Aslam, MBA
Title
Administrator
Phone
(630) 833-2486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

221 E Lake St
Suite 108
Addison, IL 60101-2888

Mailing address

221 E Lake St
Suite 108
Addison, IL 60101-2888
Phone (630) 833-2486

Other names 1

  • Avesena Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000999 IL Part A Provider - Home Health Agency 4789656109 Practice locations: Addison, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700964855. Details of each certification follow.

Home health agency certification: CCN 147802

Legal name
AVESENA INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 1, 2005
Last certification
Sep 25, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 27, 2003 in IL
Enrollment address
221 E. Lake Street
Suite 108
Addison, IL 60101-2851

Care Compare: Home health agency

Medicare Care Compare
Listed as
Avesena Home Health CareCCN 147802 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Apr 1, 2005
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
14D1024599Avesena Home Health Care221 E Lake Street-Suite 108, Addison, IL 60101Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

221 E Lake St
Ste 108
Addison, IL 60101
Phone (630) 833-2486

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Mohammad Aslam Individual 5% Or Greater Direct Ownership InterestAdministrator Aug 31, 2008 100%
W-2 Managing EmployeeAdministrator Aug 31, 2008 100%

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1700964855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E LAKE ST",
            "address_2": "SUITE 108",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012888",
            "telephone_number": "630-833-2486",
            "fax_number": "630-833-2487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E LAKE ST",
            "address_2": "SUITE 108",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012888",
            "telephone_number": "630-833-2486",
            "fax_number": "630-833-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVESENA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "ASLAM",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-833-2486",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avesena Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.