| Entity Name: | HOME HEALTH MEDICAL, L.L.C. |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | NGS |
| Date Formed: | 31 Jan 2002 |
| Company Number: | LLC_00660671 |
| File Number: | 00660671 |
| Type of Management: | Manager Managed |
| Date Status Change: | 01 Jan 2025 |
| Address | 6700 E. 95TH STREET STE 320, OAK LAWN, 60453, IL |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| U1BGAJN3XMD3 | 2025-04-01 | 6700 W 95TH ST, STE 320, OAK LAWN, IL, 60453, 2388, USA | 6700 W 95TH ST STE 320, OAK LAWN, IL, 60453, 2199, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 06 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2024-04-03 |
| Initial Registration Date | 2012-04-23 |
| Entity Start Date | 2002-11-22 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 339113, 339114, 423450, 541990, 561320, 561330, 621111, 621399, 621498, 621610, 621999, 622110, 622210, 622310, 623110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | RONALD SAM |
| Role | DR. |
| Address | 6700 W. 95TH STREET, SUITE 320, OAK LAWN, IL, 60453, USA |
| Title | ALTERNATE POC |
| Name | RONALD SAM |
| Address | 6700 W. 95TH STREET, SUITE 320, OAK LAWN, IL, 60453, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | RONALD SAM |
| Role | DR. |
| Address | 6700 W. 95TH STREET, SUITE 320, OAK LAWN, IL, 60453, USA |
| Title | ALTERNATE POC |
| Name | RONALD SAM |
| Address | 6700 W. 95TH STREET, SUITE 320, OAK LAWN, IL, 60453, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | RONALD SAM |
| Role | DR. |
| Address | 6700 W. 95TH STREET, SUITE 320, OAK LAWN, IL, 60453, USA |
| Title | ALTERNATE POC |
| Name | RONALD SAM |
| Role | DR. |
| Address | 6700 W. 95TH STREET, SUITE 320, OAK LAWN, IL, 60453, USA |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RONALD E SAM, 1812 S CLARK ST APT 15, CHICAGO, 60616, COOK-NOT IN CITY OF CHICAGO | Agent | 2015-01-06 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| SAM, RONALD E, 1812 S CLARK ST #15, CHICAGO, IL, 60616 | Manager | 2023-12-11 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURCHASE ORDER | AWARD | W91YTZ22P0117 | 2022-10-01 | 2024-10-31 | 2025-10-31 | |||||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Current Award Amount | 0.00 |
| Potential Award Amount | 73239.20 |
Description
| Title | MOD FY24 DEOB NEUROPSY |
| NAICS Code | 622210: PSYCHIATRIC AND SUBSTANCE ABUSE HOSPITALS |
| Product and Service Codes | Q201: MEDICAL- MANAGED HEALTHCARE |
Recipient Details
| Recipient | HOME HEALTH MEDICAL LLC |
| UEI | U1BGAJN3XMD3 |
| Recipient Address | UNITED STATES, 6700 W 95TH ST STE 320, OAK LAWN, COOK, ILLINOIS, 604532199 |
Date of last update: 20 Jan 2025
