Organization Active NPI

Bowes in-Home Care, Inc

  • Home Health Agency
  • Crystal Lake, IL
National Provider Identifier
1750379723
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010349 Issued in IL
Legal business name
BOWES IN-HOME CARE, INC
Practice address
813 Tek Dr
Crystal Lake, IL 60014-8172
Phone
(847) 742-5757
Fax
(847) 428-8615
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Michael Collura
Title
President
Phone
(847) 551-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010349 IL Primary

Addresses

Primary practice location

813 Tek Dr
Crystal Lake, IL 60014-8172

Mailing address

813 Tek Dr
Crystal Lake, IL 60014-8172
Phone (847) 742-5757

Other names 1

  • Bowes Senior In-Home Care, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041122000059 IL Part A Provider - Home Health Agency 2365407145 Practice locations: Elgin, IL

Home health agency certification: CCN 147813

Legal name
BOWES IN-HOME CARE, INC
Doing business as
BOWES SENIOR IN-HOME CARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 17, 2005
Last certification
Jun 13, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 27, 2004 in IL
Enrollment address
2230 Point Blvd
Ste 100
Elgin, IL 60123-9202

Care Compare: Home health agency

Medicare Care Compare
Listed as
Bowes in-Home Care, IncCCN 147813
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jun 17, 2005
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
14D1036633Bowes in-Home Care2230 Point Blvd, Suite 100, Elgin, IL 60123Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory

Locations

20 S Grove St
Ste 101
Carpentersville, IL 60110
Phone (847) 742-5757

2230 Point Blvd
Ste 100
Elgin, IL 60123
Phone (847) 742-5757

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
Michael Collura Individual 5% Or Greater Direct Ownership Interest Jan 11, 2012 100%
Corporate Director Oct 6, 2010
W-2 Managing Employee Oct 6, 2010
Iris Santiago Individual W-2 Managing EmployeeBoard Member/Coo Mar 20, 2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1750379723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 TEK DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148172",
            "telephone_number": "847-742-5757",
            "fax_number": "847-428-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 TEK DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148172",
            "telephone_number": "847-742-5757",
            "fax_number": "847-428-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWES IN-HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "COLLURA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-551-9096"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowes Senior In-Home Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bowes Senior In-Home Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

Verify at the official NPI Registry.