Organization Active NPI

Hope Home Health, Inc.

  • Home Health Agency
  • South Holland, IL
National Provider Identifier
1831321587
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011118 Issued in IL
Legal business name
HOPE HOME HEALTH, INC.
Practice address
16264 Prince Dr
South Holland, IL 60473-3233
Phone
(708) 647-2929
Fax
(708) 647-0229
NPI assigned
Aug 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Mr. Fidel Uche Okeke Sr.
Title
Administrator
Phone
(708) 647-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011118 IL Primary

Addresses

Primary practice location

16264 Prince Dr
South Holland, IL 60473-3233

Mailing address

16264 Prince Dr
South Holland, IL 60473-3233
Phone (708) 647-2929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091022000278 IL Part A Provider - Home Health Agency 3476690595 Practice locations: South Holland, IL

Home health agency certification: CCN 148132

Legal name
HOPE HOME HEALTH,INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 6, 2010
Last certification
Mar 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 26, 2008 in IL
Enrollment address
16264 Prince Dr
South Holland, IL 60473-3233

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hope Home Health, IncCCN 148132
Ownership
Proprietary
Certified
Apr 6, 2010
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
14D1094037Hope Home Health Inc16264 Prince Dr, South Holland, IL 60473Certificate of waiverJan 7, 2027

National Provider Directory

National Provider Directory

Locations

16264 Prince Dr
South Holland, IL 60473
Phone (708) 647-2929

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Fidel U Okeke Individual 5% Or Greater Direct Ownership Interest Apr 15, 2015 100%
Corporate DirectorCeo (Admin) Board Member Apr 15, 2015
Operational/Managerial ControlAdministrator Aug 10, 2010 65%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1831321587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16264 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "708-647-2929",
            "fax_number": "708-647-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16264 PRINCE DR",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604733233",
            "telephone_number": "708-647-2929",
            "fax_number": "708-647-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "FIDEL",
        "authorized_official_middle_name": "UCHE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-647-2929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Holland, IL

Sources for this page

Verify at the official NPI Registry.