Active NPI
Hands of Wellness Inc.
- Home Health Agency
- Calumet City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1010760
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 31, 2009
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1082794 | Hands of Wellness, Inc | Certificate of waiver | Feb 13, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Samuel Stephen | 5% Or Greater Direct Ownership Interest | Dec 12, 2005 | 100% |
| W-2 Managing Employee | Aug 15, 2008 | 60% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Park Ridge, IL
- NPI 1518074087
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.