Candlelight Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CANDLELIGHT HOME HEALTHCARE, LLC

Practice address

115 S Broadway St
Coal City, IL 60416-1532

Phone

(815) 557-5948

NPI assigned

May 19, 2014

Last updated

Jun 23, 2022By 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

Mr. Timothy E Zelinko

Title

Ceo

Phone

(815) 557-5948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972914372. Details of each certification follow.

• CCN 148375 Home health agency · Active · Details

Home health agency certification: CCN 148375

Legal name

CANDLELIGHT HOME HEALTHCARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 25, 2016

Last certification

May 25, 2016

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 24, 2014 in IL

Enrollment address

115 S Broadway St
Coal City, IL 60416-1532

Listed as

Candlelight Home Healthcare LLCCCN 148375 · All quality measures

Overall star rating

4 of 5

Ownership

Proprietary

Certified

May 25, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 6

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

• Spyro D Analytis, MD

  • Internal Medicine Physician
  • Diamond, IL
  • NPI 1407953441

  Home health agency

  Care Compare affiliation
• Stefanie Henline, APN

  • Nurse Practitioner
  • Channahon, IL
  • NPI 1164913430

  Home health agency

  Care Compare affiliation
• Daniel Martin Jurak, DO

  • Family Medicine Physician
  • Diamond, IL
  • NPI 1912919259

  Home health agency

  Care Compare affiliation
• Mark A Passerman, DO

  • Family Medicine Physician
  • Dwight, IL
  • NPI 1851404313

  Home health agency

  Care Compare affiliation
• Peter Charles Roumeliotis, MD

  • Internal Medicine Physician
  • Morris, IL
  • NPI 1942280326

  Home health agency

  Care Compare affiliation
• Kathleen Ann Ulivi, FNP-BC

  • Family Nurse Practitioner
  • Gardner, IL
  • NPI 1619219110

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1972914372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S BROADWAY ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161532",
            "telephone_number": "815-557-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S BROADWAY ST",
            "city": "COAL CITY",
            "state": "IL",
            "postal_code": "604161532",
            "telephone_number": "815-557-5948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "ZELINKO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-557-5948",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas E Beverly, R.PH.
• Sherri Blair, LMSW
• Boltron Dialysis LLC
• Broadway Family Dental Center
• Kinga Cano, MSW, QMHP
• Kristina Caponi, LCPC
• Caricare Mobile Medical LLC
• Jennifer Wai-Ling Chu, O.D.
• Coal City Cu School Dist 1

• Home Health Agency in Coal City, IL
• Providers in Coal City, 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 23, 2022; 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.