Organization Active NPI

American Home Care Express, Inc.

  • Home Health Agency
  • Lincolnwood, IL
National Provider Identifier
1730186040
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1007822 Issued in IL
Legal business name
AMERICAN HOME CARE EXPRESS, INC.
Practice address
6421 N Hamlin Ave
Lincolnwood, IL 60712-4041
Phone
(847) 763-9420
Fax
(847) 763-9421
NPI assigned
Jun 30, 2005
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Ms. Norma Dumlao Figueroa, RN BSN
Title
Chief Operating Officer
Phone
(847) 763-9420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1007822 IL Primary

Addresses

Primary practice location

6421 N Hamlin Ave
Lincolnwood, IL 60712-4041

Mailing address

6421 N Hamlin Ave
Lincolnwood, IL 60712-4041
Phone (847) 763-9420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071116000090 IL Part A Provider - Home Health Agency 9436247996 Practice locations: Lincolnwood, IL; Waukegan, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730186040. Details of each certification follow.

Home health agency certification: CCN 147655

Legal name
AMERICAN HOME CARE EXPRESS, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 19, 1996
Last certification
Apr 22, 2011
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
May 22, 1995 in IL
Enrollment address
6421 N Hamlin Avenue
Lincolnwood, IL 60712-4041

Care Compare: Home health agency

Medicare Care Compare
Listed as
American Home Care Express IncCCN 147655 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 19, 1996
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
14D0909672American Home Care Express, Inc6421 N Hamlin Ave, Lincolnwood, IL 60712Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

Locations

6421 N Hamlin Ave
Lincolnwood, IL 60712
Phone (847) 763-9420

15512 Cicero Ave
Ste 101
Oak Forest, IL 60452
Phone (708) 535-3595

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
Kristen Nicole Figueroa Individual 5% Or Greater Direct Ownership Interest Feb 4, 2022 30%
Corporate OfficerAssistant Administrator Feb 4, 2022 100%
W-2 Managing EmployeeAssistant Administrator Feb 4, 2022 100%
Operational/Managerial ControlAssistant Administrator Feb 4, 2022 100%
Norma Figueroa Individual 5% Or Greater Direct Ownership InterestChief Operating Officer Mar 6, 2015 50%
Corporate Director Oct 21, 2007
W-2 Managing Employee Apr 18, 2011
Operational/Managerial ControlDirector of Clinical Services Jun 16, 2016
Benjamin Figueroa Individual 5% Or Greater Direct Ownership InterestPresident Mar 6, 2015 50%
W-2 Managing Employee Jun 25, 2007
Operational/Managerial ControlPresident/Administrator Jun 16, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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 6

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1730186040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N HAMLIN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124041",
            "telephone_number": "847-763-9420",
            "fax_number": "847-763-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 N HAMLIN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124041",
            "telephone_number": "847-763-9420",
            "fax_number": "847-763-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HOME CARE EXPRESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "DUMLAO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-763-9420",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1007822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

Verify at the official NPI Registry.