NPIMap

Organization Active NPI

Health at Home Hospice - Chicago, LLC

  • Community Based Hospice Care Agency
  • Rolling Meadows, IL
National Provider Identifier
1861069700
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEALTH AT HOME HOSPICE - CHICAGO, LLC
Practice address
3701 Algonquin Rd Ste 100
Rolling Meadows, IL 60008-3115
Phone
(847) 635-6199
Fax
(847) 829-0533
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Nicholas Gachassin III
Title
Executive Vice President
Phone
(337) 233-1307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3701 Algonquin Rd Ste 100
Rolling Meadows, IL 60008-3115

Mailing address

PO Box 51266
Lafayette, LA 70505-1266
Phone (337) 233-1307

Other names 1

  • Caretenders Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210923000383 IL Part A Provider - Hospice 0446657159 Practice locations: Rolling Meadows, IL

Hospice certification: CCN 141665

Legal name
HEALTH AT HOME HOSPICE - CHICAGO, LLC
Doing business as
CARETENDERS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 26, 2015
Last certification
Oct 26, 2015
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 21, 2021 in DE
Enrollment address
3701 Algonquin Rd
Ste 100
Rolling Meadows, IL 60008-3115

Care Compare: Hospice

Medicare Care Compare
Listed as
Caretenders HospiceCCN 141665
Ownership
For-Profit
Certified
Oct 26, 2015
Medicare certification status
ActiveFrom the Provider of Services file

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
14D2132672Caretenders Hospice3701 Algonquin Rd - Ste 100, Rolling MDWS, IL 60008Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 22, 2023 100%
Manish Desai Individual Contracted Managing EmployeeMedical Director Jun 1, 2018
Marcus Donavon Macip Individual Corporate OfficerCorporate Secretary Feb 22, 2023
Kimberly Seymour Individual Corporate OfficerCoo Apr 13, 2026
W-2 Managing EmployeeCoo Apr 13, 2026
Joni Babineaux Individual Corporate OfficerCfo Apr 13, 2026
Health at Home Holdings LLC Organization, Lafayette, LA LLC 5% Or Greater Direct Ownership Interest Nov 1, 2021 100%
Tennessee Health Care Group LLC Organization, Lafayette, LA LLC 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Cynthia Caban Individual W-2 Managing EmployeeAd; Apr 20, 2026
Wendy S Daigle Individual Corporate DirectorDirector of Licensure & Reg Affa Oct 1, 2022
LHC Group Inc Organization, Lafayette, LA Corporation 5% Or Greater Indirect Ownership Interest Nov 1, 2021 100%
Joshua Lee Proffitt Individual Corporate OfficerPresident Nov 1, 2021
Amy Cormier Individual Corporate DirectorDirector of Managed Care May 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 46

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 46

Change-of-ownership history 1

DateEventCounterparty
Jun 22, 2021 Change of OwnershipThis provider was the buyer Brookdale HospiceCCN 141665, IL, NPI 1730615063

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1861069700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-443-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 ALGONQUIN RD STE 100",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083115",
            "telephone_number": "847-635-6199",
            "fax_number": "847-829-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH AT HOME HOSPICE - CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "GACHASSIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caretenders Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolling Meadows, IL

Sources for this page

Verify at the official NPI Registry.