Wellbe Senior Medical LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

WELLBE SENIOR MEDICAL LLC

Practice address

20 W Kinzie St Ste 17
Chicago, IL 60654-6393

Phone

(312) 776-2422

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Daniel Frascella

Title

Chief of Staff

Phone

(317) 517-1124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1467071894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W KINZIE ST STE 17",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546393",
            "telephone_number": "312-776-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W KINZIE ST STE 17",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546393",
            "telephone_number": "312-776-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBE SENIOR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "FRASCELLA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "317-517-1124"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Management Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.