Active NPI
American Home Care Express, Inc.
- Home Health Agency
- Lincolnwood, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1007822
- 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, 2012
- 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
- Ms. Norma Dumlao Figueroa, RN BSN
- Title
- Chief Operating Officer
- Phone
- (847) 763-9420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Dec 19, 1996
- 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 |
|---|---|---|---|
| 14D0909672 | American Home Care Express, Inc | Certificate of waiver | Dec 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kristen Nicole Figueroa | 5% Or Greater Direct Ownership Interest | Feb 4, 2022 | 30% |
| Corporate Officer | Feb 4, 2022 | 100% | |
| W-2 Managing Employee | Feb 4, 2022 | 100% | |
| Operational/Managerial Control | Feb 4, 2022 | 100% | |
| Norma Figueroa | 5% Or Greater Direct Ownership Interest | Mar 6, 2015 | 50% |
| Corporate Director | Oct 21, 2007 | ||
| W-2 Managing Employee | Apr 18, 2011 | ||
| Operational/Managerial Control | Jun 16, 2016 | ||
| Benjamin Figueroa | 5% Or Greater Direct Ownership Interest | Mar 6, 2015 | 50% |
| W-2 Managing Employee | Jun 25, 2007 | ||
| Operational/Managerial Control | 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.
-
- Nurse Practitioner
- Skokie, IL
- NPI 1548941180
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
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.
-
- Nurse Practitioner
- Skokie, IL
- NPI 1548941180
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adolescent Medicine (Internal Medicine) Physician
- Mount Prospect, IL
- NPI 1922140300
Home health agency
-
- Gerontology Nurse Practitioner
- Hainesville, IL
- NPI 1194251272
Home health agency
-
- Family Medicine Physician
- Pleasant Prairie, WI
- NPI 1093723413
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.