Active NPI
Symmetrix Home Healthcare, Inc.
- Home Health Agency
- Mt Prospect, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010659
- Legal business name
- SYMMETRIX HOME HEALTHCARE, INC.
- Practice address
- 411 Business Center Drive
Suite 106
Mt Prospect, IL 60056-9913 - Phone
- (847) 430-6771
- Fax
- (847) 430-6770
- NPI assigned
- Mar 29, 2007
- 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
- Mr. Richard P. Samaniego, RN.
- Title
- President
- Phone
- (847) 430-6771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010659 | IL | Primary |
Addresses
Primary practice location
411 Business Center Drive
Suite 106
Mt Prospect, IL 60056-9913
Mailing address
411 Business Center Dr
Suite 106
Mt Prospect, IL 60056-9913
Phone (847) 430-6771
Other names 1
- Synergy Home HealthCare, 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 |
|---|---|---|---|---|
| O20070917000252 | IL | Part A Provider - Home Health Agency | 8426142845 | Practice locations: Arlington Heights, IL |
Home health agency certification: CCN 147994
- Legal name
- SYMMETRIX HOME HEALTHCARE, INC.
- Doing business as
- SYNERGY HOME HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 17, 2008
- Last certification
- Jun 17, 2008
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Mar 17, 2006 in IL
- Enrollment address
- 415 W Golf Road
Suite 45
Arlington Heights, IL 60005
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Synergy Home Healthcare Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 17, 2008
- 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 |
|---|---|---|---|
| 14D1063454 | Symmetrix Home Healthcare Inc | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
415 W Golf Rd
Ste 45
Arlington Heights, IL 60005
411 E Business Center Dr
Ste 106
Mt Prospect, IL 60056
Phone (847) 430-6771
2644 Dempster St
Ste 205
Park Ridge, IL 60068
Phone (847) 430-6771
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rosita Trinidad | 5% Or Greater Direct Ownership Interest | Sep 19, 2012 | 100% |
| Corporate Officer | Sep 19, 2012 | 100% | |
| Corporate Director | Sep 19, 2012 | 100% | |
| W-2 Managing Employee | Sep 19, 2012 | 100% |
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": "1175126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308009600000",
"number": "1851411581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 BUSINESS CENTER DR",
"address_2": "SUITE 106",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600569913",
"telephone_number": "847-430-6771",
"fax_number": "847-430-6770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 BUSINESS CENTER DRIVE",
"address_2": "SUITE 106",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600569913",
"telephone_number": "847-430-6771",
"fax_number": "847-430-6770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMMETRIX HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-29",
"last_updated": "2011-06-14",
"status": "A",
"authorized_official_last_name": "SAMANIEGO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-430-6771",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Synergy Home HealthCare, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.