Organization Active NPI

Gold Coast Home Health, Inc.

  • Home Health Agency
  • Olympia Fields, IL
National Provider Identifier
1710128418
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Mr. Reuben Cudjoe Hadzide, MR.NPI 1558957324
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 148121 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Mar 3, 2010
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
14D1102508Gold Coast Home Health Inc20200 Governors Dr - Ste 204, Olympia Fields, IL 60461Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Reuben Hadzide Individual 5% Or Greater Direct Ownership Interest May 4, 2009 50%
Corporate Director May 4, 2009
W-2 Managing Employee May 4, 2009
Rosemary Amegashie Individual Corporate Officer May 4, 2009
Corporate Director May 4, 2009
W-2 Managing Employee May 4, 2009
Edith K Augustt Individual 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.

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": "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

Verify at the official NPI Registry.