NPIMap

Organization Active NPI

Associates Home Health Inc

  • Home Health Agency
  • Des Plaines, IL
National Provider Identifier
1992711311
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
IL1010393 Issued in IL
Legal business name
ASSOCIATES HOME HEALTH INC
Practice address
2200 E Devon Ave
Suite 255
Des Plaines, IL 60018-4503
Phone
(847) 375-6900
Fax
(847) 375-6901
NPI assigned
Jul 31, 2006
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Miss Connie P Tuazon, R.N.
Title
Administrator
Phone
(847) 375-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IL1010393 IL Primary

Addresses

Primary practice location

2200 E Devon Ave
Suite 255
Des Plaines, IL 60018-4503

Mailing address

2200 E Devon Ave
Suite 255
Des Plaines, IL 60018-4503
Phone (847) 375-6900

Other identifiers 1

IdentifierTypeStateIssuer
1992711311OtherILNPPES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050623000049 IL Part A Provider - Home Health Agency 1254376957 Practice locations: Des Plaines, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992711311. Details of each certification follow.

Home health agency certification: CCN 147831

Legal name
ASSOCIATES HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 19, 2005
Last certification
Aug 2, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
2250 E Devon Ave
Ste 336
Des Plaines, IL 60018-4511

Care Compare: Home health agency

Medicare Care Compare
Listed as
Associates Home Health, IncCCN 147831 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 19, 2005
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
14D1038387Associates Home Health Inc2200 E Devon Ave, Ste 336, Des Plaines, IL 60018Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory

Locations

9400 W Foster Ave
#L12
Chicago, IL 60656
Phone (773) 991-2580

2200 E Devon Ave
Ste 255
Des Plaines, IL 60018
Phone (847) 375-6900

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
Associates Home Health Inc Organization, Des Plaines, IL For-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2004 100%
Connie Tauzon Individual 5% Or Greater Direct Ownership Interest May 22, 2007 50%
Corporate Director May 22, 2007
W-2 Managing Employee Jun 30, 2004
Patricia Barlock Individual 5% Or Greater Direct Ownership Interest May 22, 2007 50%
Corporate Director May 22, 2007
W-2 Managing Employee May 22, 2007

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1992711311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E DEVON AVE",
            "address_2": "SUITE 255",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184503",
            "telephone_number": "847-375-6900",
            "fax_number": "847-375-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E DEVON AVE",
            "address_2": "SUITE 255",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184503",
            "telephone_number": "847-375-6900",
            "fax_number": "847-375-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "TUAZON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-375-6900",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "IL1010393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1992711311",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.