1. Home
  2. Directory
  3. Illinois
  4. Park Ridge
  5. Home Health
  6. NPI Profile

CHICAGOLAND HOME HEALTH PROVIDER, INC.
NPI 1215975388
Home Health in Park Ridge, IL

Active since June 02, 2006CLIA 14D1040893 · Waiver
2644 E DEMPSTER ST, SUITE 101, PARK RIDGE, IL 60068(847) 296-3950(847) 296-3955 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chicagoland Home Health Provider, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICAGOLAND HOME HEALTH PROVIDER, INC. (NPI 1215975388) is a healthcare organization registered as a home health in Park Ridge, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Carolina C Roque, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215975388
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCHICAGOLAND HOME HEALTH PROVIDER, INC.
Location Address2644 E DEMPSTER ST, SUITE 101Park Ridge, IL 60068-8411
Mailing Address2644 E Dempster St, Suite 101Park Ridge, IL 60068-8411 · (847) 296-3950 · Fax (847) 296-3955
Phone(847) 296-3950
Fax(847) 296-3955
Organization SubpartNo
Authorized OfficialCarolina C RoqueAdministrator · (847) 296-3950
Enumeration DateJune 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215975388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in IL · 1010421
Definition
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.
2644 E DEMPSTER ST, Park Ridge, IL 60068
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1040893

Chicagoland Home Health Provider Inc · Des Plaines, IL
Active · expires May 18, 2027
CLIA Number14D1040893
Laboratory TypeHome Health Agency
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorSusan Santiago
Laboratory Phone(847) 296-3950
Laboratory LocationChicagoland Home Health Provider Inc1974 Miner St, Unit 101, Des Plaines, IL 60016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chicagoland Home Health Provider, Inc.'s NPI number?

The NPI number for Chicagoland Home Health Provider, Inc. is 1215975388. It was assigned to this organization in the NPPES registry on June 2, 2006.

Where is Chicagoland Home Health Provider, Inc. located?

Chicagoland Home Health Provider, Inc. is located at 2644 E Dempster St Suite 101, Park Ridge, IL 60068. The listed phone number is (847) 296-3950.

What is Chicagoland Home Health Provider, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Chicagoland Home Health Provider, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1040893) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chicagoland Home Health Provider, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.