Wonder Care Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WONDER CARE HOME CARE LLC

Practice address

1903 Euclid Ave Apt B2
Berwyn, IL 60402-1862

Phone

(708) 657-0987

NPI assigned

Aug 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jovon Johnson

Title

Owner/Ceo

Phone

(708) 657-0987

Specialties & licenses 1

Addresses

Other names 2

• Wonder Care Doing business as
• Wonder Care Home Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1013528454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 EUCLID AVE APT B2",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021862",
            "telephone_number": "708-657-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 EUCLID AVE APT B2",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021862",
            "telephone_number": "708-657-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDER CARE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOVON",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "708-657-0987"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonder Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wonder Care Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Serena Wineland, SLP
• George Edward Winternheimer, DC
• Adam Wise, MD
• Walter J Wojcik, M.D,,PH.D.
• Kelsey Marie Dougherty Wolf, AUD
• Genevieve Wong, M.D.
• Frank Woo, MD
• Mahader Nigussie Wossene, MD
• Wsa Anesthesia LLC
• Nicole Ann Wujtowicz

• Home Health Agency in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.