NPIMap

Organization Active NPI

Classic Health Services, Inc.

  • Home Health Agency
  • Lombard, IL
National Provider Identifier
1740230622
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010558 Issued in IL
Legal business name
CLASSIC HEALTH SERVICES, INC.
Practice address
2200 S Main St
Suite 300
Lombard, IL 60148-5334
Phone
(630) 620-9251
Fax
(630) 620-9254
NPI assigned
May 11, 2006
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mrs. Rosalyn Sanchez Magsino, R.N.
Title
Vice President
Phone
(630) 620-9251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010558 IL Primary

Addresses

Primary practice location

2200 S Main St
Suite 300
Lombard, IL 60148-5334

Mailing address

2200 S Main St
Suite 300
Lombard, IL 60148-5334
Phone (630) 620-9251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060609000097 IL Part A Provider - Home Health Agency 9234141219 Practice locations: Lombard, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740230622. Details of each certification follow.

Home health agency certification: CCN 147901

Legal name
CLASSIC HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 18, 2006
Last certification
Oct 29, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 19, 2005 in IL
Enrollment address
2200 S. Main St
Suite 300
Lombard, IL 60148-5364

Care Compare: Home health agency

Medicare Care Compare
Listed as
Classic Health Services, Inc,CCN 147901 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 18, 2006
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
14D1047393Classic Health Services Inc2200 S Main St, Ste 300, Lombard, IL 60148Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

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
Susan Sanchez Individual 5% Or Greater Direct Ownership Interest Feb 26, 2014 50%
Corporate OfficerPresident Feb 26, 2014 50%
Corporate DirectorBoard Member Feb 26, 2014 50%
W-2 Managing EmployeeAdministrator Feb 26, 2014 50%
Elizabeth Sanchez Individual 5% Or Greater Direct Ownership Interest Feb 26, 2014 50%
Corporate OfficerSecretary Feb 26, 2014 50%
Corporate DirectorBoard Member Feb 26, 2014 50%
W-2 Managing EmployeeDirector of Nursing/Clinical Man Feb 26, 2014 50%

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1740230622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "address_2": "SUITE 300",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485334",
            "telephone_number": "630-620-9251",
            "fax_number": "630-620-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "address_2": "SUITE 300",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485334",
            "telephone_number": "630-620-9251",
            "fax_number": "630-620-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "MAGSINO",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "SANCHEZ",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "630-620-9251",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.