Organization Active NPI

Medwise Home Health Care LLC

  • Home Health Agency
  • Skokie, IL
National Provider Identifier
1023749975
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MEDWISE HOME HEALTH CARE LLC
Practice address
9933 Lawler Ave Ste 346
Skokie, IL 60077-3783
Phone
(773) 733-6498
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Ms. Jacqueline Cwiakala, RN
Title
President
Phone
(773) 733-6498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

9933 Lawler Ave Ste 346
Skokie, IL 60077-3783

Mailing address

9933 Lawler Ave Ste 346
Skokie, IL 60077-3783

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NA

National Provider Directory

National Provider Directory

Locations

9933 Lawler Ave
Ste 346
Skokie, IL 60077
Phone (773) 733-6498

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1023749975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 346",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9933 LAWLER AVE STE 346",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773783",
            "telephone_number": "773-733-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWISE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "CWIAKALA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-733-6498",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "address_1": "9933 Lawler Ave Ste 346",
            "city": "Skokie",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600773783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.