Active NPI
Angel Health Care LLC
- Home Health Agency
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 1011320
- Legal business name
- ANGEL HEALTH CARE LLC
- Practice address
- 2325 Dean St Ste 400
St Charles, IL 60175-4810 - Phone
- (847) 510-5905
- Fax
- (630) 345-3233
- NPI assigned
- Sep 24, 2010
- 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
- Mrs. Alexandra Wegener
- Title
- Administrator
- Phone
- (847) 510-5905
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | |||
| Home Health Agency | 251E00000X | 1011320 | IL | Primary |
Addresses
Primary practice location
2325 Dean St Ste 400
St Charles, IL 60175-4810
Mailing address
2325 Dean St Ste 400
St Charles, IL 60175-4810
Phone (847) 510-5905
Other names 1
- Absolute Home Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110106000719 | IL | Part A Provider - Home Health Agency | 8628267655 | Practice locations: Saint Charles, IL |
Home health agency certification: CCN 148257
- Legal name
- ANGEL HEALTH CARE LLC
- Doing business as
- ABSOLUTE HOME WELLNESS
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 14, 2011
- Last certification
- Jul 14, 2011
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jan 22, 2010 in IL
- Enrollment address
- 2325 Dean St
Ste 400
Saint Charles, IL 60175-4810
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Absolute Home Wellness
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 14, 2011
- 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 |
|---|---|---|---|
| 14D2014108 | Absolute Home Wellness | Certificate of waiver | Sep 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
188 W Industrial Dr
Ste 203
Elmhurst, IL 60126
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Biju Zacharia | 5% Or Greater Direct Ownership Interest | Aug 1, 2015 | 33% |
| Corporate Officer | Aug 1, 2015 | 33% | |
| W-2 Managing Employee | Jan 15, 2013 | ||
| Jeffrey Woods | Corporate Officer | Oct 13, 2021 | 5% |
| Corporate Director | Oct 13, 2021 | 5% | |
| Hauterwood Enterprises Inc | 5% Or Greater Direct Ownership Interest | Oct 13, 2021 | 100% |
| Sultan Taher | 5% Or Greater Indirect Ownership Interest | Oct 13, 2021 | 50% |
| Corporate Officer | Oct 13, 2021 | 50% | |
| Corporate Director | Oct 13, 2021 | 50% | |
| W-2 Managing Employee | Oct 13, 2021 | 50% | |
| Raquel Woods | 5% Or Greater Indirect Ownership Interest | Oct 13, 2021 | 50% |
| Corporate Officer | Oct 13, 2021 | 50% | |
| Corporate Director | Oct 13, 2021 | 50% | |
| W-2 Managing Employee | Oct 13, 2021 | 50% | |
| Operational/Managerial Control | Oct 13, 2021 | 50% | |
| Gladson Varghese | 5% Or Greater Direct Ownership Interest | Aug 1, 2015 | 33% |
| Corporate Officer | Aug 1, 2015 | 33% | |
| Alexandra Wegener | Corporate Officer | Oct 13, 2021 | 5% |
| Corporate Director | Oct 13, 2021 | 5% | |
| Rani Kappen | Corporate Director | Nov 9, 2010 | |
| Angel Health Care LLC | Operational/Managerial Control | Nov 9, 2010 | |
| Cible Zacharia | Corporate Officer | Jan 15, 2013 | 25% |
Practitioners & affiliated clinicians
Affiliated clinicians 33
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Rockford, IL
- NPI 1902370927
Home health agency
-
- Acute Care Nurse Practitioner
- Downers Grove, IL
- NPI 1851084008
Home health agency
-
- Family Medicine Physician
- Sycamore, IL
- NPI 1942658380
Home health agency
-
- Internal Medicine Physician
- South Elgin, IL
- NPI 1164592432
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766966400000",
"number": "1447569488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2325 DEAN ST STE 400",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601754810",
"telephone_number": "847-510-5905",
"fax_number": "630-345-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 DEAN ST STE 400",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601754810",
"telephone_number": "847-510-5905",
"fax_number": "630-345-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-24",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A",
"authorized_official_last_name": "WEGENER",
"authorized_official_first_name": "ALEXANDRA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "847-510-5905",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "IL",
"license": "1011320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Absolute Home Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.