NPIMap

Organization Active NPI

Amma Home Health Care Inc.

  • Home Health Agency
  • Naperville, IL
National Provider Identifier
1992025035
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011215 Issued in IL
Legal business name
AMMA HOME HEALTH CARE INC.
Practice address
1620 Pebblewood LN
Suite 216
Naperville, IL 60563-9075
Phone
(630) 369-2680
Fax
(630) 369-2886
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Mrs. Pastora Siwa Manuel
Title
President
Phone
(708) 715-9456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011215 IL Primary

Addresses

Primary practice location

1620 Pebblewood LN
Suite 216
Naperville, IL 60563-9075

Mailing address

1620 Pebblewood LN
Suite 216
Naperville, IL 60563-9075
Phone (630) 369-2680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110201000034 IL Part A Provider - Home Health Agency 1759560196 Practice locations: Naperville, IL

Home health agency certification: CCN 148284

Legal name
AMMA HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 28, 2011
Last certification
Oct 28, 2011
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 31, 2009 in IL
Enrollment address
1620 Pebblewood Lane
Suite 216
Naperville, IL 60563-9077

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amma Home Health Care, IncCCN 148284
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 28, 2011
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
14D2021427Amma Home Health Care Inc1620 Pebblewood Lane, Naperville, IL 60563Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

1620 Pebblewood Ln
Ste 216
Naperville, IL 60563
Phone (630) 369-2680

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Aizabelle Manuel Individual 5% Or Greater Direct Ownership InterestMarketing Director Dec 4, 2010 10%
Pastora Manuel Individual 5% Or Greater Direct Ownership Interest Dec 4, 2010 51%
Corporate Director Dec 4, 2010
Dave Manuel Individual 5% Or Greater Direct Ownership Interest Dec 4, 2010 39%
Corporate Director Dec 4, 2010
W-2 Managing EmployeeAdministrator Dec 4, 2010 39%

Practitioners & affiliated clinicians

Affiliated clinicians 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1992025035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 PEBBLEWOOD LN",
            "address_2": "SUITE 216",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639075",
            "telephone_number": "630-369-2680",
            "fax_number": "630-369-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PEBBLEWOOD LN",
            "address_2": "SUITE 216",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639075",
            "telephone_number": "630-369-2680",
            "fax_number": "630-369-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMA HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "MANUEL",
        "authorized_official_first_name": "PASTORA",
        "authorized_official_middle_name": "SIWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-715-9456",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.