Active NPI
Gold Coast Home Health, Inc.
- Home Health Agency
- Olympia Fields, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOLD COAST HOME HEALTH, INC.
- Practice address
- 20200 Governors Dr Ste 204
Olympia Fields, IL 60461-1056 - Phone
- (708) 991-7126
- NPI assigned
- Mar 10, 2009
- Last updated
- Feb 9, 2026
- 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
- Mr. Reuben Cudjoe Hadzide, MR.
- Title
- Administrator/President
- Phone
- (312) 315-1934
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary | |
| Homemaker | 376J00000X | NU |
Addresses
Primary practice location
20200 Governors Dr Ste 204
Olympia Fields, IL 60461-1056
Mailing address
5291 Providence Dr
Matteson, IL 60443-1188
Phone (312) 315-1934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090818000578 | IL | Part A Provider - Home Health Agency | 3678627155 | Practice locations: Olympia Fields, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1710128418. Details of each certification follow.
Home health agency certification: CCN 148121
- Legal name
- GOLD COAST HOME HEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 3, 2010
- Last certification
- Mar 3, 2010
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Sep 26, 2008 in IL
- Enrollment address
- 20200 Governors Dr
Ste 204
Olympia Fields, IL 60461-1056
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Gold Coast Home Health, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 3, 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 |
|---|---|---|---|
| 14D1102508 | Gold Coast Home Health Inc | Certificate of waiver | Jul 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
418 E 75th St
Chicago, IL 60619
7050 S Stony Island Ave
Ste 109
Chicago, IL 60649
Phone (773) 340-6724
1820 Ridge Rd
Ste 306C
Homewood, IL 60430
Phone (312) 315-1934
20200 Governors Dr
Ste 204
Olympia Fields, IL 60461
Phone (708) 991-7126
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 |
|---|---|---|---|
| Reuben Hadzide | 5% Or Greater Direct Ownership Interest | May 4, 2009 | 50% |
| Corporate Director | May 4, 2009 | ||
| W-2 Managing Employee | May 4, 2009 | ||
| Rosemary Amegashie | Corporate Officer | May 4, 2009 | |
| Corporate Director | May 4, 2009 | ||
| W-2 Managing Employee | May 4, 2009 | ||
| Edith K Augustt | 5% Or Greater Direct Ownership Interest | May 4, 2009 | 50% |
| Corporate Officer | May 4, 2009 | ||
| W-2 Managing Employee | May 4, 2009 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Care Home Facility
- Olympia Fields, IL
- NPI 1558957324
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- New Lenox, IL
- NPI 1841289691
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1710128418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5291 PROVIDENCE DR",
"city": "MATTESON",
"state": "IL",
"postal_code": "604431188",
"telephone_number": "312-315-1934",
"fax_number": "312-229-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20200 GOVERNORS DR STE 204",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611056",
"telephone_number": "708-991-7126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD COAST HOME HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-10",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "HADZIDE",
"authorized_official_first_name": "REUBEN",
"authorized_official_middle_name": "CUDJOE",
"authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
"authorized_official_telephone_number": "312-315-1934",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MR."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.