Organization Active NPI

Symmetrix Home Healthcare, Inc.

  • Home Health Agency
  • Mt Prospect, IL
National Provider Identifier
1851411581
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010659 Issued in IL
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

Updated by the provider on Jun 14, 2011

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)CodeLicenseStatePrimary
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. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 147994
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Jun 17, 2008
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
14D1063454Symmetrix Home Healthcare Inc415 W Golf Rd - Ste 45, Arlington Heights, IL 60005Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Rosita Trinidad Individual 5% Or Greater Direct Ownership Interest Sep 19, 2012 100%
Corporate OfficerPresident Sep 19, 2012 100%
Corporate DirectorDirector Sep 19, 2012 100%
W-2 Managing EmployeeAd; 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

Verify at the official NPI Registry.