Active NPI
Deliverance Home Health Care, Inc.
- Home Health Agency
- Niles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011035
- Legal business name
- DELIVERANCE HOME HEALTH CARE, INC.
- Practice address
- 5940 W Touhy Ave Ste 205
Niles, IL 60714-4614 - Phone
- (847) 972-1159
- Fax
- (847) 972-1239
- NPI assigned
- Oct 8, 2009
- 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
- Mrs. Ivy Norte
- Title
- Administrator
- Phone
- (847) 972-1159
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1011035 | IL | Primary |
Addresses
Primary practice location
5940 W Touhy Ave Ste 205
Niles, IL 60714-4614
Mailing address
5940 W Touhy Ave Ste 205
Niles, IL 60714-4614
Phone (847) 972-1159
Other names 1
- Deliverance Home Health Care, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091118000346 | IL | Part A Provider - Home Health Agency | 1557409257 | Practice locations: Niles, IL |
Home health agency certification: CCN 148123
- Legal name
- DELIVERANCE HOME HEALTH CARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 25, 2010
- Last certification
- Aug 16, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 4, 2008 in IL
- Enrollment address
- 5940 W Touhy Ave
Ste 205
Niles, IL 60714-4614
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Deliverance Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 25, 2010
- 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 |
|---|---|---|---|
| 14D1106535 | Deliverance Home Health Care Inc | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
1921 N Harlem Ave
Ste 107
Chicago, IL 60707
Phone (773) 622-2646
7330 N Cicero Ave
Ste 218
Lincolnwood, IL 60712
Phone (847) 972-1159
5940 W Touhy Ave
Ste 205
Niles, IL 60714
Phone (847) 972-1159
7514 Skokie Blvd
Ste 105
Skokie, IL 60077
Phone (847) 972-1159
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ivy Norte | Corporate Officer | Nov 14, 2014 | |
| Operational/Managerial Control | Nov 14, 2014 | ||
| Maximo Norte | 5% Or Greater Direct Ownership Interest | Nov 14, 2014 | 100% |
| Corporate Officer | Nov 14, 2014 | 100% | |
| Operational/Managerial Control | Nov 14, 2014 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Melrose Park, IL
- NPI 1477604791
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632787200000",
"number": "1821323809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 W TOUHY AVE STE 205",
"city": "NILES",
"state": "IL",
"postal_code": "607144614",
"telephone_number": "847-972-1159",
"fax_number": "847-972-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 W TOUHY AVE STE 205",
"city": "NILES",
"state": "IL",
"postal_code": "607144614",
"telephone_number": "847-972-1159",
"fax_number": "847-972-1239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELIVERANCE HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-08",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A",
"authorized_official_last_name": "NORTE",
"authorized_official_first_name": "IVY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-972-1159",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Deliverance Home Health Care, Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Deliverance Home Health Care, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.