NPIMap

Organization Active NPI

Aesquivel Professional Corporation

Doing business as Professional Care Home Health Services

  • Home Health Agency
  • Highland, IN
National Provider Identifier
1891747986
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
15-7558 Issued in IN
Legal business name
AESQUIVEL PROFESSIONAL CORPORATION
Doing business as
Professional Care Home Health Services
Practice address
9721 Prairie Ave
Highland, IN 46322-3616
Phone
(219) 922-8100
Fax
(219) 922-1700
NPI assigned
May 17, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Mariclaire A Silverman, RN
Title
Admdon
Phone
(219) 922-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 15-7558 IN Primary

Addresses

Primary practice location

9721 Prairie Ave
Highland, IN 46322-3616

Mailing address

9721 Prairie Ave
Highland, IN 46322-3616
Phone (219) 922-8100

Other names 1

  • Professional Care Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000139 IN Part A Provider - Home Health Agency 0345228623 Practice locations: Highland, IN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891747986. Details of each certification follow.

Home health agency certification: CCN 157558

Legal name
AESQUIVEL PROFESSIONAL CORPORATION
Doing business as
PROFESSIONAL CARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 5, 2004
Last certification
Sep 9, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 14, 2004 in IN
Enrollment address
9721 Prairie Ave
Highland, IN 46322-3616
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Professional Care Home Health ServicesCCN 157558 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 5, 2004
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
15D1025501Professional Care Home Health Services9721 Prairie Avenue, Highland, IN 46322Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

2809 Highway Ave
Ste B
Highland, IN 46322
Phone (219) 972-1009

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Mariclaire Silverman Individual W-2 Managing EmployeeAd; Mar 15, 2024
Jonathan M Silverman Individual Corporate Director Jul 13, 2004
Vrusha Patel Individual 5% Or Greater Direct Ownership Interest Mar 15, 2024 100%
Corporate Director Mar 15, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891747986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9721 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-922-8100",
            "fax_number": "219-922-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9721 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-922-8100",
            "fax_number": "219-922-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESQUIVEL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "MARICLAIRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMDON",
        "authorized_official_telephone_number": "219-922-8100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "15-7558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Care Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.