Organization Active NPI

Home Health Providers PC

  • Home Health Agency
  • Schaumburg, IL
National Provider Identifier
1851419915
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOME HEALTH PROVIDERS PC
Practice address
1901 N Roselle Rd Ste 826
Schaumburg, IL 60195-3113
Phone
(708) 444-2300
NPI assigned
Mar 27, 2007
Last updated
Mar 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Mrs. Jose Hieclieffth Craviotto
Title
Administrator
Phone
(708) 444-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1901 N Roselle Rd Ste 826
Schaumburg, IL 60195-3113

Mailing address

1901 N Roselle Rd Ste 826
Schaumburg, IL 60195-3113
Phone (708) 444-2300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051104000259 IL Part A Provider - Home Health Agency 8123046588 Practice locations: Oak Lawn, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851419915. Details of each certification follow.

Home health agency certification: CCN 147886

Legal name
HOME HEALTH PROVIDERS PC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 13, 2006
Last certification
Nov 19, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
4507 W 95TH St
Oak Lawn, IL 60453-2621

Care Compare: Home health agency

Medicare Care Compare
Listed as
Home Health Providers, PCCCN 147886 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jul 13, 2006
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
14D1047146Home Health Providers P C1901 N Roselle Rd - Ste 826, Schaumburg, IL 60195Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory

Locations

4425 W 95th St
Rear
Oak Lawn, IL 60453
Phone (708) 229-3961

1901 N Roselle Rd
Ste 826
Schaumburg, IL 60195
Phone (708) 444-2300

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
Maria Bernardo Individual W-2 Managing Employee Jun 13, 2006
Mashkoor Ali Khan Individual 5% Or Greater Direct Ownership Interest Aug 29, 2003

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 4

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1851419915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 826",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953113",
            "telephone_number": "708-444-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N ROSELLE RD STE 826",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953113",
            "telephone_number": "708-444-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH PROVIDERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "CRAVIOTTO",
        "authorized_official_first_name": "JOSE HIECLIEFFTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-444-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.