Active NPI
Primecare Home Health Services Inc.
- Home Health Agency
- Lincolnwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010505
- Legal business name
- PRIMECARE HOME HEALTH SERVICES INC.
- Practice address
- 7300 N Cicero Ave
Suite 205
Lincolnwood, IL 60712-1641 - Phone
- (847) 568-1778
- Fax
- (847) 568-1779
- NPI assigned
- Aug 8, 2006
- 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
- Caroline A Tossi, REGISTERED NURSE
- Title
- Administrator/ Agency Supervisor
- Phone
- (847) 568-1778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010505 | IL | Primary |
Addresses
Primary practice location
7300 N Cicero Ave
Suite 205
Lincolnwood, IL 60712-1641
Mailing address
7300 N Cicero Ave
Suite 205
Lincolnwood, IL 60712-1641
Phone (847) 568-1778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010505 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061102000160 | IL | Part A Provider - Home Health Agency | 1850398900 | Practice locations: Lincolnwood, IL |
Home health agency certification: CCN 147960
- Legal name
- PRIMECARE HOME HEALTH SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 15, 2007
- Last certification
- Jun 24, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- May 24, 2005 in IL
- Enrollment address
- 7383 N Lincoln Ave
Ste 120
Lincolnwood, IL 60712-1748
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Primecare Home Health Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 15, 2007
- 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 |
|---|---|---|---|
| 14D1048877 | Primecare Home Health Services Inc | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
7300 N Cicero Ave
Ste 205
Lincolnwood, IL 60712
Phone (847) 568-1778
7300 N Cicero Ave
Ste 210
Lincolnwood, IL 60712
Phone (847) 568-1778
7383 N Lincoln Ave
Ste 120
Lincolnwood, IL 60712
Phone (847) 568-1778
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Gee Ann Javate | Corporate Officer | Apr 28, 2017 | |
| W-2 Managing Employee | Apr 28, 2018 | ||
| Caroline Tossi | 5% Or Greater Direct Ownership Interest | Apr 28, 2017 | 100% |
| Corporate Officer | Apr 28, 2017 | 100% | |
| Corporate Director | Apr 28, 2017 | 100% | |
| W-2 Managing Employee | Apr 28, 2017 | 100% | |
| Operational/Managerial Control | Apr 28, 2017 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Libertyville, IL
- NPI 1720152317
Home health agency
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1760484042
Home health agency
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1639140403
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710997143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N CICERO AVE",
"address_2": "SUITE 205",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121641",
"telephone_number": "847-568-1778",
"fax_number": "847-568-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N CICERO AVE",
"address_2": "SUITE 205",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607121641",
"telephone_number": "847-568-1778",
"fax_number": "847-568-1779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE HOME HEALTH SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TOSSI",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR/ AGENCY SUPERVISOR",
"authorized_official_telephone_number": "847-568-1778",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010505",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.