Active NPI
God Gift Health Care LLC
- Home Health Agency
- Chicago, IL
National Provider Identifier
1821551219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOD GIFT HEALTH CARE LLC
- Practice address
- 2622 W Peterson Ave Ste 4
Chicago, IL 60659-4032 - Phone
- (773) 236-3685
- NPI assigned
- Apr 11, 2019
- 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
- Yao Mlope
- Title
- Owner
- Phone
- (773) 236-3685
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2622 W Peterson Ave Ste 4
Chicago, IL 60659-4032
Mailing address
2622 W Peterson Ave Ste 4
Chicago, IL 60659-4032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210317002886 | IL | Part A Provider - Home Health Agency | 2466869458 | Practice locations: Chicago, IL |
Home health agency certification: CCN 148392
- Legal name
- GOD GIFT HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 8, 2021
- Last certification
- Mar 14, 2022
- Organization structure
- LLC
- Incorporated
- Mar 28, 2014 in IL
- Enrollment address
- 2622 W Peterson Ave
Ste 4
Chicago, IL 60659-4032
Care Compare: Home health agency
Medicare Care Compare- Listed as
- God Gift Health Care LLC
- Overall star rating
- Ownership
- -
- Certified
- Oct 8, 2021
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 14D2179746 | God Gift Health Care L L C | Certificate of waiver | Mar 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
2622 W Peterson Ave
Ste 4
Chicago, IL 60659
Phone (773) 236-3685
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 |
|---|---|---|---|
| Yao Mlope | 5% Or Greater Direct Ownership Interest | Mar 28, 2014 | 100% |
| Corporate Director | Mar 28, 2014 | 50% | |
| W-2 Managing Employee | Mar 28, 2014 | 50% | |
| Juliana Ndukwu | Corporate Director | Mar 28, 2014 | 50% |
| W-2 Managing Employee | Mar 28, 2014 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1554940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554940800000",
"number": "1821551219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2622 W PETERSON AVE STE 4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2622 W PETERSON AVE STE 4",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594032",
"telephone_number": "773-236-3685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOD GIFT HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-11",
"last_updated": "2019-04-11",
"status": "A",
"authorized_official_last_name": "MLOPE",
"authorized_official_first_name": "YAO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-236-3685"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.