Organization Active NPI

Omnicare Home Health Inc.

  • Home Health Agency
  • Plainfield, IL
National Provider Identifier
1790736478
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
OMNICARE HOME HEALTH INC.
Practice address
13242 S Route 59 Ste 202
Plainfield, IL 60585-5438
Phone
(630) 972-0668
Fax
(630) 972-0669
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Rosalie G Fagaragan
Title
Administrator
Phone
(630) 972-0668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010554 IL
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13242 S Route 59 Ste 202
Plainfield, IL 60585-5438

Mailing address

13242 S Route 59 Ste 202
Plainfield, IL 60585-5438
Phone (630) 972-0668

Other names 1

  • ADVANCE HOME HEALTH WEST Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060713000035 IL Part A Provider - Home Health Agency 8921011040 Practice locations: Plainfield, IL

Home health agency certification: CCN 147925

Legal name
OMNICARE HOME HEALTH INC
Doing business as
ADVANCE HOME HEALTH WEST
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 22, 2007
Last certification
May 13, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 6, 2005 in IL
Enrollment address
13242 S RT 59
Suite 202
Plainfield, IL 60585

Care Compare: Home health agency

Medicare Care Compare
Listed as
Omnicare Home Health, IncCCN 147925
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Feb 22, 2007
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
14D1053451Omnicare Home Health Inc13242 South RT 59, Suite 202, Plainfield, IL 60585Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory

Locations

550 E Boughton Rd
Ste 130
Bolingbrook, IL 60440

13242 S Route 59
Ste 202
Plainfield, IL 60585
Phone (630) 205-9000

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
Liberty Anonuevo Individual 5% Or Greater Direct Ownership Interest May 1, 2026 10%
Corporate Officer May 1, 2026 10%
Corporate Director May 1, 2026 10%
W-2 Managing EmployeeDirector of Nursing Feb 28, 2006 10%
Rosalie Fagaragan Individual 5% Or Greater Direct Ownership Interest May 1, 2026 10%
Corporate Officer May 1, 2026 10%
Corporate Director May 1, 2026 10%
W-2 Managing EmployeeAd; May 1, 2026 10%
Maria Liberty Limbago Madanguit Individual 5% Or Greater Direct Ownership Interest May 1, 2026 40%
Christian Bondad Individual 5% Or Greater Direct Ownership Interest May 1, 2026 40%
Corporate Officer May 1, 2026 40%
Corporate Director May 1, 2026 40%

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1790736478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13242 S ROUTE 59 STE 202",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855438",
            "telephone_number": "630-972-0668",
            "fax_number": "630-972-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13242 S ROUTE 59 STE 202",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855438",
            "telephone_number": "630-972-0668",
            "fax_number": "630-972-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "FAGARAGAN",
        "authorized_official_first_name": "ROSALIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-972-0668"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010554",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCE HOME HEALTH WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.