Organization Active NPI

Corlan Home Health Inc

  • Home Health Registered Nurse
  • Arlington Heights, IL
National Provider Identifier
1750515581
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
1919671 Issued in IL
Legal business name
CORLAN HOME HEALTH INC
Practice address
415 W Golf Rd
Suite 46
Arlington Heights, IL 60005-3929
Phone
(847) 593-0050
Fax
(847) 739-7172
NPI assigned
May 7, 2009
Last updated
Jun 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Authorized official

Name
Mr. Olanrewaju Odunayo Ojo
Title
Administrator
Phone
(847) 593-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 1919671 IL Primary

Addresses

Primary practice location

415 W Golf Rd
Suite 46
Arlington Heights, IL 60005-3929

Mailing address

415 W Golf Rd
Suite 46
Arlington Heights, IL 60005-3929
Phone (847) 593-0050

Other identifiers 1

IdentifierTypeStateIssuer
1010896MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100608000174 IL Part A Provider - Home Health Agency 7416087184 Practice locations: Arlington Heights, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750515581. Details of each certification follow.

Home health agency certification: CCN 148310

Legal name
CORLAN HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 23, 2012
Last certification
Apr 16, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 12, 2007 in IL
Enrollment address
415 W Golf Rd
Suite 46
Arlington Heights, IL 60005-3923
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Corlan Home Health, IncCCN 148310 · All quality measures
Ownership
Proprietary
Certified
Feb 23, 2012
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
14D2002936Corlan Home Health Inc415 W Golf Road, Suite 46, Arlington Heights, IL 60005Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

415 W Golf Rd
Ste 46
Arlington Heights, IL 60005
Phone (847) 593-0050

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Olanrewaju Ojo Individual 5% Or Greater Direct Ownership Interest Jul 12, 2007
General Partnership Interest Jul 12, 2007
Corporate Director Jul 12, 2007
W-2 Managing Employee Jul 12, 2007

NPI Registry JSON

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1750515581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "SUITE 46",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-593-0050",
            "fax_number": "847-739-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "SUITE 46",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-593-0050",
            "fax_number": "847-739-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLAN HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "OLANREWAJU",
        "authorized_official_middle_name": "ODUNAYO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-593-0050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "1919671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010896",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.