Precious Life Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011247 Issued in IL

Legal business name

PRECIOUS LIFE HOME HEALTH LLC

Practice address

303 E Army Trail Rd Ste 201
Bloomingdale, IL 60108-2143

Phone

(630) 635-2655

Fax

(630) 635-2656

NPI assigned

Jun 24, 2010

Organization subpart

No

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

Authorized official

Name

Maria Teresa Adriano, SN

Title

Administrator

Phone

(630) 635-2655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Home health agency certification: CCN 148301

Legal name

PRECIOUS LIFE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 30, 2011

Last certification

Dec 30, 2011

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

303 E Army Trail Rd
Ste 201
Bloomingdale, IL 60108

Listed as

Precious Life Home Health, LLCCCN 148301

Ownership

Proprietary

Certified

Dec 30, 2011

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1851602957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 201",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082143",
            "telephone_number": "630-635-2655",
            "fax_number": "630-635-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 201",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082143",
            "telephone_number": "630-635-2655",
            "fax_number": "630-635-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS LIFE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "ADRIANO",
        "authorized_official_first_name": "MARIA TERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-635-2655",
        "authorized_official_credential": "SN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.

Verify at the official NPI Registry.