NPIMap

Organization Active NPI

Icare Home Health Corporation

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1992912182
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1011369 Issued in IL
Legal business name
ICARE HOME HEALTH CORPORATION
Practice address
5962 N Lincoln Ave
Suite 3
Chicago, IL 60659-3711
Phone
(773) 334-2515
Fax
(773) 334-2516
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Ms. Irene G Aguila, BSN-RN
Title
Administrator
Phone
(773) 334-2515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011369 IL Primary

Addresses

Primary practice location

5962 N Lincoln Ave
Suite 3
Chicago, IL 60659-3711

Mailing address

5962 N Lincoln Ave
Suite 3
Chicago, IL 60659-3711
Phone (773) 334-2515

Other names 1

  • iCARE Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000265 IL Part A Provider - Home Health Agency 7719057918 Practice locations: Chicago, IL

Home health agency certification: CCN 148039

Legal name
ICARE HOME HEALTH CORPORATION
Doing business as
ICARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 12, 2008
Last certification
Nov 12, 2008
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 30, 2007 in IL
Enrollment address
5962 N. Lincoln Ave.
Suite 3
Chicago, IL 60659-3741

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Donalyn Oduca Individual Operational/Managerial ControlAgency Supervisor Feb 16, 2016
Sheila Padillo Individual 5% Or Greater Direct Ownership Interest Nov 5, 2009 100%
Corporate Director Nov 5, 2009
Garizaldy P Dela Rosa Individual Corporate OfficerSecretary Jan 24, 2014
W-2 Managing EmployeeHuman Resources Manager May 16, 2011
Icare Home Health Corporation Organization, Chicago, IL 5% Or Greater Direct Ownership Interest Oct 30, 2007
Irene G Aguila Individual Corporate OfficerPresident Jan 24, 2014
W-2 Managing EmployeeAdministrator Apr 15, 2010
Operational/Managerial ControlAdministrator Apr 15, 2010

Affiliated clinicians 22

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

View all 22

Care Compare: Home health agency

Medicare Care Compare
Listed as
Icare Home HealthCCN 148039
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 12, 2008
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
14D1067095Icare Home Health Inc5962 N Lincoln Ave, Ste #3, Peterson Prof BLDG, Chicago, IL 60659Certificate of waiverApr 9, 2027

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1992912182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 N LINCOLN AVE",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593711",
            "telephone_number": "773-334-2515",
            "fax_number": "773-334-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 N LINCOLN AVE",
            "address_2": "SUITE 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593711",
            "telephone_number": "773-334-2515",
            "fax_number": "773-334-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HOME HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "AGUILA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-334-2515",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN-RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCARE Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.