Organization Active NPI

Primecare Home Health Services Inc.

  • Home Health Agency
  • Lincolnwood, IL
National Provider Identifier
1710997143
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010505 Issued in IL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1010505MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 147960 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Mar 15, 2007
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
14D1048877Primecare Home Health Services Inc7383 N Lincoln Ave, Suite 120, Lincolnwood, IL 60712Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Gee Ann Javate Individual Corporate OfficerSecretary, Board Member Apr 28, 2017
W-2 Managing EmployeeAdministrator, Board Member Apr 28, 2018
Caroline Tossi Individual 5% Or Greater Direct Ownership InterestAdministrator Apr 28, 2017 100%
Corporate OfficerBoard Member and Pres Apr 28, 2017 100%
Corporate DirectorPres,Board Mem Apr 28, 2017 100%
W-2 Managing EmployeePres, Admin, Sup Apr 28, 2017 100%
Operational/Managerial ControlAdmin, Pres, Sup Apr 28, 2017 100%

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "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

Verify at the official NPI Registry.