GOLD COAST HOME HEALTH, INC.
NPI 1710128418
Home Health in Olympia Fields, IL

Active since March 10, 2009CLIA 14D1102508 · Waiver
20200 GOVERNORS DR STE 204, OLYMPIA FIELDS, IL 60461(708) 991-7126 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2026, Dec 6, 2023 (2 updates tracked since 2023).

About Gold Coast Home Health, Inc. NPPES

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

GOLD COAST HOME HEALTH, INC. (NPI 1710128418) is a healthcare organization registered as a home health in Olympia Fields, Illinois and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through July 19, 2027 and lists Reuben Cudjoe Hadzide, Administrator/president, as its authorized official.

NPPES Registry Identity

NPI1710128418
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGOLD COAST HOME HEALTH, INC.
Location Address20200 GOVERNORS DR STE 204Olympia Fields, IL 60461-1056
Mailing Address5291 Providence DrMatteson, IL 60443-1188 · (312) 315-1934 · Fax (312) 229-0067
Organization SubpartNo
Authorized OfficialReuben Cudjoe HadzideAdministrator/president · (312) 315-1934
Enumeration DateMarch 10, 2009
Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2026
NPI 1710128418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.

Also ListedHomemakerTaxonomy 376J00000X
20200 GOVERNORS DR STE 204, Olympia Fields, IL 60461

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 14D1102508

Gold Coast Home Health Inc · Olympia Fields, IL
Active · expires Jul 19, 2027
CLIA Number14D1102508
Laboratory TypeHome Health Agency
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorJohn A. Awah
Laboratory Phone(312) 315-1934
Laboratory LocationGold Coast Home Health Inc20200 Governors Dr - Ste 204, Olympia Fields, IL 60461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Custodial Care Facility (Adult Care Home)
20200 GOVERNORS DR STE 204
OLYMPIA FIELDS, IL 60461

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 Gold Coast Home Health, Inc.'s NPI number?

The NPI number for Gold Coast Home Health, Inc. is 1710128418. It was assigned to this organization in the NPPES registry on March 10, 2009.

Where is Gold Coast Home Health, Inc. located?

Gold Coast Home Health, Inc. is located at 20200 Governors Dr Ste 204, Olympia Fields, IL 60461. The listed phone number is (708) 991-7126.

What is Gold Coast Home Health, Inc.'s specialty?

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

Does Gold Coast Home Health, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1102508) is associated with this NPI, valid through July 19, 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 Gold Coast Home Health, Inc. was last updated on February 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.