Organization Active NPI

Wellness Home Care, Inc.

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1043404023
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010757 Issued in IL
Legal business name
WELLNESS HOME CARE, INC.
Practice address
9415 S Western Ave
Suite 109
Chicago, IL 60643-6700
Phone
(773) 779-8815
Fax
(773) 779-8875
NPI assigned
Sep 1, 2007
Last updated
Jul 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Authorized official

Name
Felicia Hayes, REGISTERED NURSENPI 1376115014
Title
Administrator
Phone
(773) 779-8815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010757 IL Primary

Addresses

Primary practice location

9415 S Western Ave
Suite 109
Chicago, IL 60643-6700

Mailing address

9415 S Western Ave
Suite 109
Chicago, IL 60643-6700
Phone (773) 779-8815

National Provider Directory

National Provider Directory

Locations

5333 S Laramie Ave
Ste 217
Chicago, IL 60638
Phone (773) 585-7725

9415 S Western Ave
Ste 109
Chicago, IL 60643
Phone (773) 779-8815

4550 W 103rd St
Ste 202
Oak Lawn, IL 60453
Phone (773) 598-2046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1043404023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 S WESTERN AVE",
            "address_2": "SUITE 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436700",
            "telephone_number": "773-779-8815",
            "fax_number": "773-779-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 S WESTERN AVE",
            "address_2": "SUITE 109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436700",
            "telephone_number": "773-779-8815",
            "fax_number": "773-779-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-01",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-779-8815",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.