Directmed Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010443 Issued in IL

Legal business name

DIRECTMED HEALTH SERVICES LLC

Practice address

2600 S. Michigan Ave
Ste. 303
Chicago, IL 60616

Phone

(312) 642-5500

Fax

(312) 642-5501

NPI assigned

Aug 16, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antoinette Alvarado

Title

Admin, Asst

Phone

(312) 642-5500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932212610. Details of each certification follow.

• CCN 147822 Home health agency · Active · Details

Home health agency certification: CCN 147822

Legal name

DIRECTMED HEALTH SERVICES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 2, 2005

Last certification

Jul 19, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 28, 2005 in IL

Enrollment address

2600 S Michigan Ave
Ste 410
Chicago, IL 60616-2696

Listed as

Directmed Health Services, LLCCCN 147822 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Sep 2, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ronald Anthony Hickombottom, M.D

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1023020989

  Home health agency

  Care Compare affiliation
• Iryna Lyuta, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • North Riverside, IL
  • NPI 1710503735

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1932212610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S. MICHIGAN AVE",
            "address_2": "STE. 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-642-5500",
            "fax_number": "312-642-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S. MICHIGAN AVE",
            "address_2": "STE. 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "312-642-5500",
            "fax_number": "312-642-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTMED HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "ADMIN, ASST",
        "authorized_official_telephone_number": "312-642-5500"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635410",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75317990001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Direct Home Healthcare, Inc.
• Direct Medical Supplies, Inc
• Direct Passage Nemt Services LLC
• Directcare Home Health Inc
• Directcare Home Health Inc
• Dean A Dirico, DPM
• Kendra Dirienzo, WHNP,CNM
• Rita Dirito-Surgal, CMT, CD
• Michael Dirmish, AUD
• Amanda Rose Dirnberger, FNP-BC

• 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 Jun 21, 2018; 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.