HOME HEALTHCARE RENEWAL SERVICES (NPI# 1760540470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760540470 |
| Entity Type | Organization |
| Organization Name | HOME HEALTHCARE RENEWAL SERVICES |
| Other Organization Name | INTERIM HEALTHCARE OF ROCKFORD |
| Practice Address |
10604 Southwest Highway Suite 104 Chicago Ridge IL 60415-2717 |
| Practice Telephone | 7085768254 |
| Practice Fax Number | 7085768941 |
| Mailing Telephone | 7085768254 |
| Mailing Fax Number | 7085768941 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | STORI WORTH (OWNER/REGISTERED NURSE) |
| Authorized Official Telephone | 7085768254 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | 1002609 | IL | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD IL | 9780 | 01 |
| IL | BLUE CROSS BLUE SHIELD IL | 10132045 | 01 |
| WI | 41530700 | 05 |
| Other Name | Type Code |
|---|---|
| Interim Healthcare of Rockford | Former Legal Business Name - Organization |
| Street Address |
10604 SOUTHWEST HIGHWAY SUITE 104 |
| City | CHICAGO RIDGE |
| State | IL |
| Zip Code | 60415-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770547309 | Prakash Vaishnav | Internal Medicine | 10604 Southwest Highway, Suite 107, Chicago Ridge, IL 60415-2717 | 2006-04-12 |
| 1225528979 | Thoracic Surgical Associates, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10604 Southwest Highway, Suite 101, Chicago Ridge, IL 60415 | 2018-05-17 |
| 1689163503 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Highway, Suite 102, Chicago Ridge, IL 60415 | 2018-05-07 |
| 1417245499 | Fadi Aldaas | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2011-07-12 |
| 1659558666 | Essam Fathy Mekhaiel | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2008-01-22 |
| 1649470196 | M. Eyad Karzoun | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-07-23 |
| 1497956981 | Juanbosco Ayala | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-05-30 |
| 1285845818 | Hamed R Mataria | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-05-25 |
| 1396963559 | Moutaz Sunbuli | Internal Medicine | 10604 Southwest Highway, Ste 107, Chicago Ridge, IL 60415-2717 | 2007-04-23 |
| 1699834754 | Pulmonary Consultants, Sc | Internal Medicine | 10604 Southwest Highway, Chicago Ridge, IL 60415-2717 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233854 | All American Physical Therapy P.C. | Clinic/Center | 9830 Ridgeland Ave Ste 3a, Chicago Ridge, IL 60415 | 2018-04-30 |
| 1841711561 | Limitless Transportation of Illinois | Non-emergency Medical Transport (VAN) | 6726 107th St Unit 2c, Chicago Ridge, IL 60415 | 2017-07-03 |
| 1376927293 | Fariha Querishi | Dentist | 6501 W 95th Street, Chicago Ridge, IL 60415 | 2015-07-10 |
| 1780958603 | Delores Jean Jackson | Occupational Therapy Assistant | 10300 Southwest Highway, Chicago Ridge, IL 60415 | 2012-02-24 |
| 1376855395 | Aa1 Medicar Transpotation Inc | Non-emergency Medical Transport (VAN) | 10624 S Major St 2n, Chicago Ridge, IL 60415 | 2010-07-07 |
| 1952591448 | Orion Diagnostic & Chiropractic Center | Chiropractor | 9830 S. Ridgeland Ave, Suite # 5, Chicago Ridge, IL 60415 | 2007-07-31 |
| 1518006808 | Christopher John Green | Dentist | 6422 W 107th St, Chicago Ridge, IL 60415 | 2007-02-05 |
| 1376697383 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 320 Chicago Ridge Mall # C15, Chicago Ridge, IL 60415 | 2007-01-23 |
| 1144372194 | Ikechukwu Oguejiofor | Urology | 10400 S0uthwest Highway, Chicago Ridge, IL 60415 | 2007-01-18 |
| 1306909148 | Edward Philip Mann | Ophthalmology | 5850 W 111th St, Chicago Ridge, IL 60415 | 2006-12-19 |
| Find all providers in zip 60415 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053852285 | Margaret Alfarah | Home Health | 6119 103rd St, 3w, Chicago Ridge, IL 60415-1642 | 2017-03-20 |
| 1134419708 | In Touch Home Health Agency Inc | Home Health | 7000 Southwest Hwy, Suite 201, Chicago Ridge, IL 60415-1469 | 2011-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477355 | Bijou Alokpovi | Home Health | 2294 Nichols Rd Apt D, Arlington Heights, IL 60004-1177 | 2020-11-07 |
| 1396346474 | A Smith At Your Service | Home Health | 2504 7th Ave, Rock Island, IL 61201-9027 | 2020-11-04 |
| 1639779564 | A Delightful Homelife Healthcare Services LLC | Home Health | 4027 N Washington St, Westmont, IL 60559-1332 | 2020-10-29 |
| 1730789074 | Greys Medical Services | Home Health | 419 Highland Ave, West Dundee, IL 60118-1224 | 2020-10-27 |
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1881208239 | Solidex Group LLC | Home Health | 3356 W Columbia Ave Apt 2, Lincolnwood, IL 60712-3855 | 2020-09-02 |
| 1134733835 | Bethany North Suburban Group | Home Health | 2601 Chestnut Ave Unit 3310, Glenview, IL 60026-8317 | 2020-09-01 |
| 1528670171 | Jessica Renee Paul | Home Health | 647 W Losey St Ste 3, Galesburg, IL 61401-2594 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO RIDGE |
| Zip Code | 60415 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.