OMNICARE HOME HEALTH INC. – Home Health Agency, NPI 1790736478

OMNICARE HOME HEALTH INC. is a healthcare provider. based in Bolingbrook, Illinois. specializing in Home Health Agency. The organization holds a License No. 1010554 (IL). The NPI Number for OMNICARE HOME HEALTH INC. is 1790736478

Main info

Organization
Name
OMNICARE HOME HEALTH INC.
NPI
1790736478
Phone
(630) 972-0668
Address
550 E. BOUGHTON RD.
Authorized Official
MRS. LIBERTY ANONUEVO ADMINISTRATOR REGISTERED NURSE
Enumeration Date
15 May 2006
Last Update Date
14 June 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for OMNICARE HOME HEALTH INC.

  • Bolingbrook Pediatrician, 550, East Boughton Road, Bolingbrook, Will County, Illinois, 60440, United States

    SUITE 130

    BOLINGBROOK, IL 604402192

    Phone: (630) 972-0668

    Fax: (630) 972-0669

    Mailing address matches the actual address.

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: 2006-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-05-31 (743 days ago).

Enrollment records

1

Earliest due date

2024-05-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060713000035OHome Health AgencyIL2024-05-31

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.

Verify on CMS Revalidation Lookup Tool

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 60440)

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Reviews

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Frequently asked questions

What is the standard ID for OMNICARE HOME HEALTH INC. in the U.S.?
In the U.S., OMNICARE HOME HEALTH INC. is identified by NPI 1790736478.
Is OMNICARE HOME HEALTH INC. currently accepting referrals based on NPI status?
Registry metadata lists OMNICARE HOME HEALTH INC. as active.
Which specialty label fits OMNICARE HOME HEALTH INC.?
NPPES ties OMNICARE HOME HEALTH INC. to Home Health Agency in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to OMNICARE HOME HEALTH INC.?
OMNICARE HOME HEALTH INC. is associated with Bolingbrook, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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