EDGEWATER MEDICAL CENTER HHA - CHICAGO, IL

United States hospital / nursing home:
EDGEWATER MEDICAL CENTER HHA - CHICAGO, IL

EDGEWATER MEDICAL CENTER HHA
5700 NORTH ASHLAND AVENUE
CHICAGO, IL 60660

SHORT TERM HOME HEALTH AGENCIES

Services provided by EDGEWATER MEDICAL CENTER HHA:

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Prior change of ownership (The date of a prior change of ownership): Jan 1997

Occupational therapists (The number of full time equivalent occupational therapists employed by a provider): 0.50

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE ONLY

Registered nurses (The number of full-time equivalent registered professional nurses employed by a provider): 8

Srv: occupational therapy (Indicates how occupational therapy services are provided): COMBINATION

Srv: pharmacy (Indicates how pharmacy services are provided): PROVIDED UNDER ARRANGEMENT

Srv: physical therapy (Indicates how physical therapy services are provided): COMBINATION

Type of facility (Indicates the category which represents the type of facility): REHABILITATION

Aide training/competency programs (Indicates how the agency provides home health aide training and competency evaluation programs): COMPETENCY EVALUATION PROG.

Branch operation indicator (Indicates if the agency operates any branches): No

Change of ownership indicator (Indicates if a home health agency has undergone a change of ownership since the last survey): No

Hha qualified for opt (Indicates if a home health agency is qualified to provide outpatient physical therapy/speech services): No

Home health aides (Number of full-time equivalent home health aides employed by a home health agency or hospice): 1

Hospice indicator (Indicates if the home health agency also participates in the Medicare program as a hospice): No

Medicare/Medicaid provider number (If the agency is based in another Medicare or Medicaid facility, the provider number of that facility): 140087

Social workers (The number of full time equivalent social workers employed by the agency): 0.50

Srv: appliance and equipment (Indicates how appliance and equipment services are provided by a home health agency): PROVIDED UNDER ARRANGEMENT

Srv: home health aide/homemaker (Indicates how home health aide services are provided by a home health agency): PROVIDED BY AGENCY STAFF

Srv: medical social (Indicates how medical social services are provided): COMBINATION

Srv: nursing (Indicates how nursing services are provided): PROVIDED BY STAFF

Srv: nutritional guidance (Indicates how nutritional guidance services are provided): PROVIDED UNDER ARRANGEMENT

Srv: speech therapy (Indicates how speech therapy services are provided): PROVIDED UNDER ARRANGEMENT

Subunit indicator (Indicates if the agency is a subunit of another agency): No

Subunit operation indicator (Indicates if the agency operates any subunits): No

Physical therapists on staff (The number of full-time equivalent physical therapists employed by an outpatient physical therapy provider or a home health agency provider): 1

Srv: laboratory (Indicates how laboratory services are provided): PROVIDED UNDER ARRANGEMENT

Compliance: plan of correction (Indicates if a provider is in compliance with program requirements based on an acceptable plan for correction of deficiencies): COMPLIANCE BASED ON ACCEPTABLE POC

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Oct 2000

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Nov 1976