GOLD COAST HOME HEALTH, INC. – Home Health Agency, NPI 1710128418
Home Health Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GOLD COAST HOME HEALTH, INC.
5291 PROVIDENCE DR
MATTESON, IL 604431188
Phone: (312) 315-1934
Fax: (312) 229-0067
Type: Mailing
20200 GOVERNORS DR STE 204
OLYMPIA FIELDS, IL 604611056
Phone: (708) 991-7126
Type: Location
416-418, East 75th Street, Brookline, Greater Grand Crossing, Chicago, Hyde Park Township, Cook County, Illinois, 60649, United States
CHICAGO, IL 606192202
Phone: (773) 488-3800
Fax: (312) 229-0067
Type: Mailing
418, East 76th Street, South Park Manor Historic District, Greater Grand Crossing, Chicago, Hyde Park Township, Cook County, Illinois, 60619, United States
CHICAGO, IL 606192202
Phone: (773) 488-3800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-11-30 (191 days ago).
Enrollment records
1
Earliest due date
2025-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090818000578 | O | Home Health Agency | IL | 2025-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60443)
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