NPIMap

Organization Active NPI

Assure Home Healthcare Inc

  • Home Health Agency
  • Libertyville, IL
National Provider Identifier
1851353569
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010323 Issued in IL
Legal business name
ASSURE HOME HEALTHCARE INC
Practice address
28140 N Bradley Rd
Libertyville, IL 60048-9621
Phone
(847) 297-4444
Fax
(847) 297-4447
NPI assigned
Apr 6, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Ildebrando R Mahinay
Title
President
Phone
(847) 297-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010323 IL Primary

Addresses

Primary practice location

28140 N Bradley Rd
Libertyville, IL 60048-9621

Mailing address

28140 N Bradley Rd
Libertyville, IL 60048-9621
Phone (847) 297-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040927000880 IL Part A Provider - Home Health Agency 9032188016 Practice locations: Libertyville, IL
O20101217000652 IL Part B Supplier - Independent Clinical Laboratory 9032188016 Practice locations: Skokie, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851353569. Details of each certification follow.

Home health agency certification: CCN 147794

Legal name
ASSURE HOME HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 14, 2005
Last certification
May 8, 2010
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 14, 2003 in IL
Enrollment address
28140 N Bradley Rd
Libertyville, IL 60048-9621

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assure Home Healthcare, IncCCN 147794 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 14, 2005
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
14D1019727Assure Home Healthcare, Inc28140 N Bradley Rd, Libertyville, IL 60048Certificate of waiverNov 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Assure Home Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4259 Commercial Way
Glenview, IL 60025
Phone (847) 297-4444

5101 Washington St
Ste 2N
Gurnee, IL 60031
Phone (847) 297-4444

4072 Old Grand Ave
Gurnee, IL 60031
Phone (847) 297-4444

4611 Main St
Ste A
Lisle, IL 60532
Phone (847) 297-4444

7620 Gross Point Rd
Skokie, IL 60077
Phone (847) 297-4444

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.

NameRoleSinceShare
Ildebrando Mahinay Individual 5% Or Greater Direct Ownership Interest Oct 24, 2003 50%
Corporate OfficerCeo-Administrator Oct 15, 2003 50%
Corporate DirectorDirector/Board Member Oct 24, 2003 50%
W-2 Managing EmployeeCeo-Administrator Dec 13, 2010 50%
Assure Home Healthcare Inc Organization, Libertyville, IL Corporation 5% Or Greater Direct Ownership Interest Sep 25, 2020 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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 47

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 47

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1851353569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28140 N BRADLEY RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489621",
            "telephone_number": "847-297-4444",
            "fax_number": "847-297-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28140 N BRADLEY RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600489621",
            "telephone_number": "847-297-4444",
            "fax_number": "847-297-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURE HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "MAHINAY",
        "authorized_official_first_name": "ILDEBRANDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-297-4444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.