Organization Active NPI

Horizon Home Health Care Inc

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1912920091
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010423 Issued in IL
Legal business name
HORIZON HOME HEALTH CARE INC
Practice address
2929 S Wabash Ave Ste 202
Chicago, IL 60616-3243
Phone
(312) 225-7706
Fax
(312) 225-7736
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
Ms. Maria L De Vera, RN
Title
Administrator
Phone
(312) 225-7706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010423 IL Primary

Addresses

Primary practice location

2929 S Wabash Ave Ste 202
Chicago, IL 60616-3243

Mailing address

2929 S Wabash Ave Ste 202
Chicago, IL 60616-3243
Phone (312) 225-7706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517001011 IL Part A Provider - Home Health Agency 6406897735 Practice locations: Chicago, IL

Home health agency certification: CCN 147829

Legal name
HORIZON HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 27, 2005
Last certification
Nov 7, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 11, 2004 in IL
Enrollment address
540 W 35TH St
Ste 102
Chicago, IL 60616-3532
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Horizon Home Health Care, IncCCN 147829
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 27, 2005
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
14D1033755Horizon Home Health Care Inc540 W 35TH St - Ste 102, Chicago, IL 60616Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

Locations

540 W 35th St
Ste 102
Chicago, IL 60616
Phone (773) 343-2009

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Arnel Aziyu Individual Corporate OfficerVice President Jan 14, 2020
Corporate Director Jan 14, 2020
W-2 Managing EmployeeAd; Jul 1, 2010
Racquel Cajalne Individual 5% Or Greater Direct Ownership Interest May 1, 2011 50%
Corporate Officer May 1, 2011 50%
Corporate Director May 1, 2011 50%
Alice Escobar Individual W-2 Managing EmployeeAgency Supervisor Jan 20, 2020
Adrian Aziyu Individual 5% Or Greater Direct Ownership Interest May 1, 2015 50%
Corporate Officer May 1, 2011
Corporate Director May 1, 2011

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1912920091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 S WABASH AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163243",
            "telephone_number": "312-225-7706",
            "fax_number": "312-225-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S WABASH AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163243",
            "telephone_number": "312-225-7706",
            "fax_number": "312-225-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-225-7706",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.