Hosannas Home Health Agency Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010140 Issued in IL

Legal business name

HOSANNAS HOME HEALTH AGENCY INC.

Practice address

2823 W 87TH St
Evergreen Park, IL 60805-1135

Phone

(708) 423-8932

Fax

(708) 423-8951

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Delois Edwards

Title

Administrator

Phone

(708) 423-8932

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 147711

Legal name

HOSANNAS HOME HEALTH AGENCY INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 11, 2001

Last certification

Aug 24, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

2823 W 87TH St
Evergreen Park, IL 60805-1135

Listed as

Hosanna'S Home Health Agency, IncCCN 147711

Ownership

Proprietary

Certified

Apr 11, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760586366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051135",
            "telephone_number": "708-423-8932",
            "fax_number": "708-423-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 W 87TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051135",
            "telephone_number": "708-423-8932",
            "fax_number": "708-423-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSANNAS HOME HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "DELOIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-423-8932",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Denise Holmes, PHARM.D.
• Ronald Holt, M.D.
• Home Therapy Associates
• Kuhn Hong, MD
• Andrea Horn
• Daniel Joseph Bierbaum Howard, M.D.
• Jessica Chentel Hudson
• Hugh Med Group Inc
• Hugh Medical Assoc
• Pauline Wong Hugh, M.D.

• Home Health Agency in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.