Organization Active NPI

Deluxe Home Health Care LLC

  • Home Health Agency
  • Elgin, IL
National Provider Identifier
1801326871
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011357 Issued in IL
Legal business name
DELUXE HOME HEALTH CARE LLC
Practice address
415 Airport Rd
Elgin, IL 60123-9356
Phone
(630) 963-8696
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Prof. Juanita Macklin
Title
President
Phone
(630) 963-8696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011357 IL Primary

Addresses

Primary practice location

415 Airport Rd
Elgin, IL 60123-9356

Mailing address

415 Airport Rd
Elgin, IL 60123-9356
Phone (630) 963-8696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000189 IL Part A Provider - Home Health Agency 3971780685 1 other NPI on this enrollment
Practice locations: Elgin, IL

Home health agency certification: CCN 148286

Legal name
DELUXE HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 2011
Last certification
Nov 20, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
May 3, 2010 in IL
Enrollment address
415 Airport Rd
Elgin, IL 60123-9356
HHA Branch

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Deluxe Home Health Care, LLCCCN 148286
Ownership
Proprietary
Certified
Oct 25, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

6800 Main St
Ste 20
Downers Grove, IL 60516
Phone (630) 310-8696

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Juanita Macklin Individual 5% Or Greater Direct Ownership Interest Apr 25, 2017 100%
Corporate OfficerPresident Apr 25, 2017 100%
W-2 Managing EmployeePresident Apr 25, 2017 100%
Operational/Managerial ControlPresident Apr 25, 2017 100%
Patrick Cadet Individual 5% Or Greater Direct Ownership InterestAdministrator May 4, 2022 34%
W-2 Managing Employee May 4, 2022
Shatawn Philidor Individual 5% Or Greater Direct Ownership Interest May 4, 2022 33%
Patrice Cadet Individual 5% Or Greater Direct Ownership Interest May 4, 2022 33%
Ashleee Gillespie Individual W-2 Managing Employee Apr 25, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801326871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 AIRPORT RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239356",
            "telephone_number": "630-963-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 AIRPORT RD",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239356",
            "telephone_number": "630-963-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELUXE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-963-8696",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.