Organization Active NPI

Cardinal Home Health Services, Inc.

  • Home Health Agency
  • Merrillville, IN
National Provider Identifier
1942494943
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARDINAL HOME HEALTH SERVICES, INC.
Practice address
7863 Broadway
Suite 202
Merrillville, IN 46410-5553
Phone
(219) 750-9120
Fax
(219) 750-9121
NPI assigned
Sep 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Obaid Shafiq, MD
Title
Administrator
Phone
(219) 750-9120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7863 Broadway
Suite 202
Merrillville, IN 46410-5553

Mailing address

7863 Broadway
Suite 202
Merrillville, IN 46410-5553
Phone (219) 750-9120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080222000070 IN Part A Provider - Home Health Agency 2466536974 Practice locations: Merrillville, IN

Home health agency certification: CCN 157601

Legal name
CARDINAL HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 21, 2008
Last certification
Jul 24, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 13, 2007 in IN
Enrollment address
7863 Broadway 202
Merrillville, IN 46410-5554

Care Compare: Home health agency

Medicare Care Compare
Listed as
Cardinal Home Health Services IncCCN 157601 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 21, 2008
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
15D1073035Cardinal Home Health Services Inc7863 Broadway Ave Ste 202, Merrillville, IN 46410Certificate of waiverAug 28, 2027

National Provider Directory

National Provider Directory

Locations

7863 Broadway
Ste 202
Merrillville, IN 46410
Phone (219) 750-9120

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
Antonietta Gadat Individual 5% Or Greater Direct Ownership Interest Sep 5, 2007
General Partnership Interest Sep 5, 2007 50%
Corporate Officer Aug 13, 2007
Corporate Director Sep 5, 2007
W-2 Managing Employee Aug 13, 2007
Operational/Managerial Control Aug 13, 2007
Leslie Cervantes Individual 5% Or Greater Direct Ownership Interest Aug 9, 2011 50%
Corporate Officer Aug 13, 2007

Practitioners & affiliated clinicians

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": "1188604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1942494943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "SUITE 202",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "219-750-9120",
            "fax_number": "219-750-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7863 BROADWAY",
            "address_2": "SUITE 202",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105553",
            "telephone_number": "219-750-9120",
            "fax_number": "219-750-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-01",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SHAFIQ",
        "authorized_official_first_name": "OBAID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-750-9120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.