Active NPI
Harmony Home Health Agency, Inc.
- Home Health Agency
- West Chicago, IL
National Provider Identifier
1972533735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010530
- Legal business name
- HARMONY HOME HEALTH AGENCY, INC.
- Practice address
- 245 W Roosevelt Rd # 130-131
West Chicago, IL 60185-3739 - Phone
- (708) 274-4420
- Fax
- (708) 274-4427
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Florencio D. Geronimo Jr.
- Title
- Administrator
- Phone
- (708) 274-4420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 1010530 | IL | Primary |
Addresses
Primary practice location
245 W Roosevelt Rd # 130-131
West Chicago, IL 60185-3739
Mailing address
245 W Roosevelt Rd BLDG 130-131
West Chicago, IL 60185-3739
Phone (708) 274-4420
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D1044975 | Other | IL | CMS- CLIA CERT. OF WAIVER |
| 1972533735 | Other | IL | NPPES |
| 147929 | Other | IL | MEDICARE PROVIDER NUMBER |
| 1010530 | Other | IL | IDPH LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061005000534 | IL | Part A Provider - Home Health Agency | 7517963028 | Practice locations: West Chicago, IL |
Home health agency certification: CCN 147929
- Legal name
- HARMONY HOME HEALTH AGENCY, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 27, 2007
- Last certification
- May 14, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 14, 2005 in IL
- Enrollment address
- 245 W Roosevelt Road
BLDG 15 Ste 130/131
West Chicago, IL 60185-4836
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Harmony Home Health Agency, Inc
- Ownership
- Proprietary
- Certified
- Jan 27, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
7711 W 159th St
Ste 204
Tinley Park, IL 60477
Phone (708) 532-1396
245 W Roosevelt Rd
Bldg 130131
West Chicago, IL 60185
245 W Roosevelt Rd
#130131
West Chicago, IL 60185
Phone (708) 274-4420
245 W Roosevelt Rd
Ste 15
West Chicago, IL 60185
Phone (630) 221-3500
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Florencio Geronimo | 5% Or Greater Direct Ownership Interest | Feb 8, 2019 | 50% |
| Corporate Officer | Feb 8, 2019 | 50% | |
| Corporate Director | Feb 8, 2019 | 50% | |
| W-2 Managing Employee | Feb 8, 2019 | 50% | |
| Eva San Juan Geronimo | 5% Or Greater Direct Ownership Interest | Feb 8, 2019 | 50% |
| 5% Or Greater Indirect Ownership Interest | Feb 8, 2019 | ||
| 5% Or Greater Mortgage Interest | Feb 8, 2019 | ||
| 5% Or Greater Security Interest | Feb 8, 2019 | ||
| Corporate Officer | Feb 8, 2019 | 50% | |
| Corporate Director | Feb 8, 2019 | 50% | |
| W-2 Managing Employee | Feb 8, 2019 | 50% |
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": "1708992000000",
"number": "1972533735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 W ROOSEVELT RD BLDG 130-131",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601853739",
"telephone_number": "708-274-4420",
"fax_number": "708-274-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 W ROOSEVELT RD # 130-131",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601853739",
"telephone_number": "708-274-4420",
"fax_number": "708-274-4427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARMONY HOME HEALTH AGENCY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "GERONIMO",
"authorized_official_first_name": "FLORENCIO",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "708-274-4420",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1010530",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMS- CLIA CERT. OF WAIVER",
"identifier": "14D1044975",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1972533735",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "147929",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDPH LICENSE NUMBER",
"identifier": "1010530",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.