Organization Active NPI

Glory Home Health Care Management Inc

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1891727293
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 4, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 147907
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Nov 2, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
14D1044898Glory Home Health Care Management, Inc2700 S River Rd - Ste 108, Des Plaines, IL 60018Certificate of waiverAug 30, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Ali Elnajami Individual 5% Or Greater Direct Ownership Interest Oct 1, 2023 50%
Corporate OfficerTreasurer Oct 1, 2023 50%
Corporate DirectorDirector Oct 1, 2023 50%
Natalia Krokhmalyuk Individual 5% Or Greater Direct Ownership Interest Oct 1, 2023 50%
Corporate OfficerPresident Oct 1, 2023 50%
Corporate DirectorDirector Oct 1, 2023 50%
W-2 Managing EmployeeOffice Manager 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.

Affiliated clinicians 3

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": "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

Verify at the official NPI Registry.