NPIMap

Organization Active NPI

Direct Home Healthcare, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1841389236
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010414 Issued in IL
Legal business name
DIRECT HOME HEALTHCARE, INC.
Practice address
4001 W Devon Ave
Suite 312
Chicago, IL 60646-4523
Phone
(773) 777-9271
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Jude Nwokenkwo
Title
President & Administrator
Phone
(773) 777-9271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010414 IL Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

4001 W Devon Ave
Suite 312
Chicago, IL 60646-4523

Mailing address

2250 E Devon Ave Ste 341
Des Plaines, IL 60018-4509
Phone (773) 516-4196

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050507000083 IL Part A Provider - Home Health Agency 8820038961 Practice locations: Des Plaines, IL

Home health agency certification: CCN 147847

Legal name
DIRECT HOME HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2005
Last certification
Nov 8, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 14, 2004 in IL
Enrollment address
2250 E Devon Ave
Ste 341
Des Plaines, IL 60018-4509

Care Compare: Home health agency

Medicare Care Compare
Listed as
Direct Home Healthcare, IncCCN 147847 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Dec 6, 2005
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
Tax ID family
Direct Home Healthcare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6035 N Kedzie Ave
Unit 102B
Chicago, IL 60659

4001 W Devon Ave
Ste 312
Chicago, IL 60646
Phone (773) 777-9271

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
Jude Nwokenkwo Individual 5% Or Greater Direct Ownership InterestPresident,Administrator,Bod Member Jul 21, 2016 100%
Corporate OfficerPresident,Administrator,BD Member Jun 15, 2004 50%
Corporate DirectorPresident,Administrator,Bod Member Jun 15, 2004 50%
W-2 Managing EmployeePresident,Administrator,Bod Member Oct 1, 2004 50%
Operational/Managerial ControlPresident,Administrator, Bod Member Jun 15, 2004 50%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 9

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1841389236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 E DEVON AVE STE 341",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184509",
            "telephone_number": "773-516-4196",
            "fax_number": "844-310-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W DEVON AVE",
            "address_2": "SUITE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464523",
            "telephone_number": "773-777-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "NWOKENKWO",
        "authorized_official_first_name": "JUDE",
        "authorized_official_title_or_position": "PRESIDENT & ADMINISTRATOR",
        "authorized_official_telephone_number": "773-777-9271"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010414",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.