Active NPI
Omnicare Home Health Inc.
- Home Health Agency
- Plainfield, IL
National Provider Identifier
1790736478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 22, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1053451 | Omnicare Home Health Inc | Certificate of waiver | Apr 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Liberty Anonuevo | 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 Employee | Feb 28, 2006 | 10% | |
| Rosalie Fagaragan | 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 Employee | May 1, 2026 | 10% | |
| Maria Liberty Limbago Madanguit | 5% Or Greater Direct Ownership Interest | May 1, 2026 | 40% |
| Christian Bondad | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.