Organization Active NPI

Harmony Home Health Agency, Inc.

  • Home Health Agency
  • West Chicago, IL
National Provider Identifier
1972533735
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010530 Issued in IL
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

Updated by the provider on Feb 27, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
14D1044975OtherILCMS- CLIA CERT. OF WAIVER
1972533735OtherILNPPES
147929OtherILMEDICARE PROVIDER NUMBER
1010530OtherILIDPH LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 147929
Ownership
Proprietary
Certified
Jan 27, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Florencio Geronimo Individual 5% Or Greater Direct Ownership InterestAdministrator Feb 8, 2019 50%
Corporate OfficerAdministrator Feb 8, 2019 50%
Corporate DirectorBoard Member Feb 8, 2019 50%
W-2 Managing EmployeeAdministrator Feb 8, 2019 50%
Eva San Juan Geronimo Individual 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 OfficerAgency Supervisor Feb 8, 2019 50%
Corporate DirectorBoard Member Feb 8, 2019 50%
W-2 Managing EmployeeAgency Supervisor 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

Verify at the official NPI Registry.