Advanced Family Home Health 1, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011260 Issued in IL

Legal business name

ADVANCED FAMILY HOME HEALTH 1, INC.

Doing business as

Advanced Family Home Health 1, Inc.

Practice address

3295 N Arlington Heights Rd
Suite 101
Arlington Heights, IL 60004-1565

Phone

(847) 392-3896

NPI assigned

Aug 13, 2010

Last updated

Aug 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aleksandr Levit

Title

Administrator

Phone

(847) 392-3896

Specialties & licenses 1

Addresses

Other names 1

• Advanced Family Home Health 1, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760797732. Details of each certification follow.

• CCN 148244 Home health agency · Active · Details

Home health agency certification: CCN 148244

Legal name

ADVANCED FAMILY HOME HEALTH 1, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 19, 2011

Last certification

Apr 19, 2011

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 14, 2009 in IL

Enrollment address

3295 N. Arlington Heights Road
Suite 101
Arlington Heights, IL 60004-1565

Listed as

Advanced Family Home Health 1, IncCCN 148244 · All quality measures

Overall star rating

5 of 5

Ownership

Proprietary

Certified

Apr 19, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Anam Ahmed, M.D.

  • Hospitalist Physician
  • Palos Heights, IL
  • NPI 1598152704

  Home health agency

  Care Compare affiliation
• Mikhail Khodarkovskiy, M.D.

  • Family Medicine Physician
  • Mundelein, IL
  • NPI 1215919196

  Home health agency

  Care Compare affiliation
• Boris Sheynin, M.D.

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1952359440

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1760797732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 N ARLINGTON HEIGHTS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041565",
            "telephone_number": "847-392-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY HOME HEALTH 1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "LEVIT",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-392-3896"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Home Health 1, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Arlington Heights, IL
• Providers in Arlington Heights, 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 13, 2010; 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.