Organization Active NPI

Healing Hands Home Care, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1962432021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010205 Issued in IL
Legal business name
HEALING HANDS HOME CARE, INC.
Practice address
6730 W Higgins Ave
Chicago, IL 60656-2106
Phone
(773) 792-3333
Fax
(773) 792-3330
NPI assigned
Jul 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Islam Ahmed Ibrahim, MS P.T.NPI 1891314787
Title
Administrator
Phone
(773) 792-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010205 IL Primary

Addresses

Primary practice location

6730 W Higgins Ave
Chicago, IL 60656-2106

Mailing address

6730 W Higgins Ave
Chicago, IL 60656-2106
Phone (773) 792-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061208000092 IL Part A Provider - Home Health Agency 7810996493 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962432021. Details of each certification follow.

Home health agency certification: CCN 147727

Legal name
HEALING HANDS HOME CARE, INC.
Doing business as
ESSENCE MEDSPA AND WELLNESS CENTER
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 10, 2002
Last certification
Feb 26, 2011
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 4, 2002 in IL
Enrollment address
6730 W Higgins Avenue
Chicago, IL 60656-2106
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Healing Hands Home Care, IncCCN 147727 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Oct 10, 2002
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
14D1000936Healing Hands Home Care, Inc6730 W Higgins Ave, Chicago, IL 60656Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

6730 W Higgins Ave
Chicago, IL 60656
Phone (773) 205-8911

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
1925 E Rand LLC Organization, Arlington Heights, IL Medical provider/supplier 5% Or Greater Indirect Ownership Interest May 21, 2013 50%
Glenda Alday Catangay Individual W-2 Managing EmployeeAdministrator Dec 31, 2018
Essence Inc. Organization, Chicago, IL 5% Or Greater Indirect Ownership Interest Jul 27, 2007 50%
Islam Ibrahim Individual 5% Or Greater Direct Ownership Interest Jan 1, 2002 100%
Corporate Director Jan 1, 2002

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 1

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.

Affiliated clinicians 5

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962432021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562106",
            "telephone_number": "773-792-3333",
            "fax_number": "773-792-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606562106",
            "telephone_number": "773-792-3333",
            "fax_number": "773-792-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ISLAM",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-792-3333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS P.T."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.