Midwest Healthcare Providers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010927 Issued in IL

Legal business name

MIDWEST HEALTHCARE PROVIDERS, INC.

Practice address

5360 Fargo Ave
Skokie, IL 60077-3250

Phone

(847) 679-4387

Fax

(847) 679-4437

NPI assigned

Jun 25, 2008

Last updated

Feb 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dawn Wagner, MSN, RN

Title

Owner/Agency Supervisor

Phone

(847) 679-4387

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871755405. Details of each certification follow.

• CCN 148077 Home health agency · Active · Details

Home health agency certification: CCN 148077

Legal name

MIDWEST HEALTHCARE PROVIDERS INC.

Doing business as

MIDWEST HEALTHCARE PROVIDERS

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 4, 2009

Last certification

Aug 4, 2009

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 7, 2007 in IL

Enrollment address

5360 Fargo Ave
Ste 201
Skokie, IL 60077-3250

Listed as

Midwest Healthcare Provider, IncCCN 148077 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Aug 4, 2009

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 1

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Abiodun Josephine Atomori

  • Adult Health Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1063071819

  Home health agency

  Care Compare affiliation
• Rajendra Prasad Mullapudi, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1679764096

  Home health agency

  Care Compare affiliation
• Rasheda Taylor

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1588127740

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1871755405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 FARGO AVE STE 201",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773250",
            "telephone_number": "847-679-4387",
            "fax_number": "847-679-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 FARGO AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773250",
            "telephone_number": "847-679-4387",
            "fax_number": "847-679-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTHCARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/AGENCY SUPERVISOR",
        "authorized_official_telephone_number": "847-679-4387",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Jonas Psychological Services, PLLC
• Cristina Middleton, M.A. CCC-SLP/L
• Midwest Ambulance, LLC
• Midwest Center for Women's Health Care, LTD.
• Midwest Express Care 2, Inc
• Helen Barbara Mikos, DEVELOPMENTAL THERAP
• Richard Randy Mikos, D.D.S.
• Kristen Miller
• Marla Debra Miller, PSY.D.
• Nathan Randall Miller, MACP

• Home Health Agency in Skokie, IL
• Providers in Skokie, IL by specialty
• Home Health Agency in Illinois

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

Verify at the official NPI Registry.