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ILLINOIS HOME HEALTH AGENCY LLC
NPI 1710783931
Home Health in Park Ridge, IL

Active since February 19, 2025CLIA 14D2340059 · Waiver
1420 RENAISSANCE DR STE 409, PARK RIDGE, IL 60068(773) 572-8520 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Illinois Home Health Agency Llc NPPES

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

ILLINOIS HOME HEALTH AGENCY LLC (NPI 1710783931) is a healthcare organization registered as a home health in Park Ridge, Illinois and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Haseen S Mehdi, Member/ceo, as its authorized official.

NPPES Registry Identity

NPI1710783931
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameILLINOIS HOME HEALTH AGENCY LLC
Location Address1420 RENAISSANCE DR STE 409Park Ridge, IL 60068-1345
Mailing Address1420 Renaissance Dr Ste 409Park Ridge, IL 60068-1345 · (773) 572-8520
Phone(773) 572-8520
Organization SubpartNo
Authorized OfficialHaseen S MehdiMember/ceo · (312) 667-8844
Enumeration DateFebruary 19, 2025
NPPES CertifiedFebruary 19, 2025
✔ NPI 1710783931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1420 RENAISSANCE DR STE 409, Park Ridge, IL 60068
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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 14D2340059

Illinois Home Health Agency, L L C · Park Ridge, IL
Active · expires Mar 10, 2028
CLIA Number14D2340059
Laboratory TypeHome Health Agency
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorAbdul Musheer
Laboratory Phone(312) 667-8844
Laboratory LocationIllinois Home Health Agency, L L C1420 Renaissance Dr, Ste 301 F, Park Ridge, IL 60068
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 Illinois Home Health Agency LLC's NPI number?

The NPI number for Illinois Home Health Agency LLC is 1710783931. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Illinois Home Health Agency LLC located?

Illinois Home Health Agency LLC is located at 1420 Renaissance Dr Ste 409, Park Ridge, IL 60068. The listed phone number is (773) 572-8520.

What is Illinois Home Health Agency LLC's specialty?

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

Does Illinois Home Health Agency LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2340059) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Illinois Home Health Agency LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.