NPIMap

Organization Active NPI

Care Choice Home Health, Inc.

  • Home Health Agency
  • Skokie, IL
National Provider Identifier
1760474076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010265 Issued in IL
Legal business name
CARE CHOICE HOME HEALTH, INC.
Practice address
7840 Lincoln Ave
Suite 208
Skokie, IL 60077-3658
Phone
(847) 329-0648
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Froilan Bello, RN
Title
Administrator
Phone
(847) 329-0648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010265 IL Primary

Addresses

Primary practice location

7840 Lincoln Ave
Suite 208
Skokie, IL 60077-3658

Mailing address

7840 Lincoln Ave
Suite 208
Skokie, IL 60077-3658
Phone (847) 329-0648

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031009000028 IL Part A Provider - Home Health Agency 4183536089 Practice locations: Skokie, IL

Home health agency certification: CCN 147760

Legal name
CARE CHOICE HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 20, 2004
Last certification
Jun 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 23, 2003 in IL
Enrollment address
8707 Skokie Blvd
Ste 306
Skokie, IL 60077-2281

Care Compare: Home health agency

Medicare Care Compare
Listed as
Care Choice Home Health, IncCCN 147760 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Feb 20, 2004
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
14D1010952Care Choice Home Health Inc8707 Skokie Blvd - Ste 306, Skokie, IL 60077Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

7840 Lincoln Ave
Ste 208
Skokie, IL 60077
Phone (847) 329-0648

8707 Skokie Blvd
Ste 306
Skokie, IL 60077
Phone (847) 329-0648

7840 Lincoln Ave
Ste 108
Skokie, IL 60077
Phone (847) 329-0648

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Chrystal Bernadette Ceniza Individual 5% Or Greater Direct Ownership Interest Jan 1, 2005 50%
Froilan Figuerres Bello Individual 5% Or Greater Direct Ownership Interest Jan 23, 2003
Corporate OfficerPresident/Ceo Jan 23, 2003 75%
Corporate Director Oct 9, 2003
W-2 Managing EmployeePresident/Ceo Jan 23, 2003 100%
Leyte Pozon Bello Individual 5% Or Greater Direct Ownership Interest Jan 23, 2003
Corporate OfficerSecretary, Board Member Jan 23, 2003 25%
Corporate Director Oct 9, 2003
W-2 Managing Employee Jan 23, 2003
Teresa Holmes Individual 5% Or Greater Direct Ownership Interest Jan 23, 2003
Corporate Director Oct 9, 2003

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760474076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 LINCOLN AVE",
            "address_2": "SUITE 208",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773658",
            "telephone_number": "847-329-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 LINCOLN AVE",
            "address_2": "SUITE 208",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773658",
            "telephone_number": "847-329-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CHOICE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "FROILAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-329-0648",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.