Active NPI
Home Health Providers PC
- Home Health Agency
- Schaumburg, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2025
- 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
- Mrs. Jose Hieclieffth Craviotto
- Title
- Administrator
- Phone
- (708) 444-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- Enrollment address
- 4507 W 95TH St
Oak Lawn, IL 60453-2621
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Home Health Providers, PC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 13, 2006
- 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 |
|---|---|---|---|
| 14D1047146 | Home Health Providers P C | Certificate of waiver | Oct 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Maria Bernardo | W-2 Managing Employee | Jun 13, 2006 | |
| Mashkoor Ali Khan | 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.
-
- Physical Therapist
- Oak Lawn, IL
- NPI 1366516213
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Darien, IL
- NPI 1568531564
Home health agency
-
- Family Medicine Physician
- Bolingbrook, IL
- NPI 1154346609
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.