Organization Active NPI

Hands of Wellness Inc.

  • Home Health Agency
  • Calumet City, IL
National Provider Identifier
1164678652
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010760 Issued in IL
Legal business name
HANDS OF WELLNESS INC.
Practice address
1070 Sibley Blvd
Calumet City, IL 60409-2413
Phone
(708) 832-2228
Fax
(708) 832-2668
NPI assigned
Aug 15, 2008
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Samuel Stephen
Title
President
Phone
(708) 832-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010760 IL Primary

Addresses

Primary practice location

1070 Sibley Blvd
Calumet City, IL 60409-2413

Mailing address

1070 Sibley Blvd
Calumet City, IL 60409-2413
Phone (708) 832-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000675 IL Part A Provider - Home Health Agency 2163590795 Practice locations: Calumet City, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164678652. Details of each certification follow.

Home health agency certification: CCN 148041

Legal name
HANDS OF WELLNESS INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 31, 2009
Last certification
Apr 8, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 12, 2005 in IL
Enrollment address
1070 Sibley Blvd
Calumet City, IL 60409-2413

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hands of Wellness, IncCCN 148041 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Mar 31, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1082794Hands of Wellness, Inc1070 Sibley Blvd, Calumet City, IL 60409Certificate of waiverFeb 13, 2028

National Provider Directory

National Provider Directory

Locations

1062 Sibley Blvd
Calumet City, IL 60409
Phone (708) 832-2228

1070 Sibley Blvd
Calumet City, IL 60409
Phone (708) 832-2228

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samuel Stephen Individual 5% Or Greater Direct Ownership Interest Dec 12, 2005 100%
W-2 Managing EmployeeDirector of Nursing Aug 15, 2008 60%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1164678652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092413",
            "telephone_number": "708-832-2228",
            "fax_number": "708-832-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 SIBLEY BLVD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092413",
            "telephone_number": "708-832-2228",
            "fax_number": "708-832-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "STEPHEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-832-2228"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

Verify at the official NPI Registry.