Active NPI
Glory Home Health Care Management Inc
- Home Health Agency
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GLORY HOME HEALTH CARE MANAGEMENT INC
- Practice address
- 2700 S River Rd Ste 108
Des Plaines, IL 60018-4104 - Phone
- (847) 813-6555
- Fax
- (847) 813-9682
- NPI assigned
- Jul 7, 2006
- 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
- Natalia Krokhmalyuk
- Title
- President/Owner
- Phone
- (847) 568-1033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2700 S River Rd Ste 108
Des Plaines, IL 60018-4104
Mailing address
2700 S River Rd Ste 108
Des Plaines, IL 60018-4104
Phone (847) 813-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060712000301 | IL | Part A Provider - Home Health Agency | 5698788792 | Practice locations: Des Plaines, IL |
Home health agency certification: CCN 147907
- Legal name
- GLORY HOME HEALTH CARE MANAGEMENT INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 2, 2006
- Last certification
- Apr 23, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Dec 22, 2004 in IL
- Enrollment address
- 2700 S River Rd
Ste 108
Des Plaines, IL 60018-4104
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Glory Home Health Care Management, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 2, 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 |
|---|---|---|---|
| 14D1044898 | Glory Home Health Care Management, Inc | Certificate of waiver | Aug 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
5901 N Cicero Ave
Ste 201
Chicago, IL 60646
Phone (773) 685-6155
3559 N Cumberland Ave
Chicago, IL 60634
Phone (773) 625-6153
2860 S River Rd
Ste 470
Des Plaines, IL 60018
Phone (847) 813-6555
2700 S River Rd
Ste 108
Des Plaines, IL 60018
Phone (847) 813-6555
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 |
|---|---|---|---|
| Ali Elnajami | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 | 50% |
| Corporate Officer | Oct 1, 2023 | 50% | |
| Corporate Director | Oct 1, 2023 | 50% | |
| Natalia Krokhmalyuk | 5% Or Greater Direct Ownership Interest | Oct 1, 2023 | 50% |
| Corporate Officer | Oct 1, 2023 | 50% | |
| Corporate Director | Oct 1, 2023 | 50% | |
| W-2 Managing Employee | Oct 1, 2023 | 50% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1508332552
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Glen Ellyn, IL
- NPI 1134362833
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712188800000",
"number": "1891727293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 S RIVER RD STE 108",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600184104",
"telephone_number": "847-813-6555",
"fax_number": "847-813-9682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 S RIVER RD STE 108",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600184104",
"telephone_number": "847-813-6555",
"fax_number": "847-813-9682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORY HOME HEALTH CARE MANAGEMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A",
"authorized_official_last_name": "KROKHMALYUK",
"authorized_official_first_name": "NATALIA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "847-568-1033"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.