Wellpoint Home Health,Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1011534 Issued in IL

Legal business name

WELLPOINT HOME HEALTH,INC.

Practice address

10912 S Western Ave
Suite 4 N
Chicago, IL 60643-3205

Phone

(773) 253-9190

Fax

(773) 253-9961

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy McKenzie, RN,BSN

Title

President/Ceo

Phone

(773) 732-8790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1073867784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10912 S WESTERN AVE",
            "address_2": "SUITE 4 N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433205",
            "telephone_number": "773-253-9190",
            "fax_number": "773-253-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10912 S WESTERN AVE",
            "address_2": "SUITE 4 N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433205",
            "telephone_number": "773-253-9190",
            "fax_number": "773-253-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT HOME HEALTH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-732-8790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Chicago, IL
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• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.