St Thomas Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST THOMAS HEALTH CARE INC

Doing business as

Wailai Home Health Services

Practice address

4554 N Broadway St Ste 312
Chicago, IL 60640-5621

Phone

(773) 769-2820

Fax

(773) 271-3678

NPI assigned

Jul 23, 2006

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

ST THOMAS HEALTH CARE INCAs reported in NPPES

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

Authorized official

Name

Ms. Esther Takang, RN

Title

President

Phone

(773) 895-2951

Specialties & licenses 1

Addresses

Other names 1

• Wailai Home Health Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912929845. Details of each certification follow.

• CCN 147840 Home health agency · Active · Details

Home health agency certification: CCN 147840

Legal name

ST THOMAS HEALTH CARE INC

Doing business as

WAILAI HOME HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 30, 2005

Last certification

Apr 23, 2021

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 14, 2000 in IL

Enrollment address

4554 N Broadway Street
Suite 312
Chicago, IL 60640-5621

Listed as

Wailai Home Health ServicesCCN 147840 · All quality measures

Ownership

Proprietary

Certified

Nov 30, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Part of

St Thomas Health Care Inc

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.

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1912929845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 N BROADWAY ST STE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405621",
            "telephone_number": "773-769-2820",
            "fax_number": "773-271-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4554 N BROADWAY ST STE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405621",
            "telephone_number": "773-769-2820",
            "fax_number": "773-271-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST THOMAS HEALTH CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST THOMAS HEALTH CARE INC",
        "enumeration_date": "2006-07-23",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "TAKANG",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-895-2951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wailai Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Chicago, IL
• Providers in Chicago, 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 Aug 30, 2022; 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.