Wellpoint Home Health,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WELLPOINT HOME HEALTH,INC

Practice address

9245 Calumet Ave
Suite 107
Munster, IN 46321-2821

Phone

(773) 732-8790

Fax

(773) 253-9961

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Leon J McKenzie Jr., MBA

Title

President/Cfo

Phone

(773) 732-8790

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1467889196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 CALUMET AVE",
            "address_2": "SUITE 107",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212821",
            "telephone_number": "773-732-8790",
            "fax_number": "773-253-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 CALUMET AVE",
            "address_2": "SUITE 107",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212821",
            "telephone_number": "773-732-8790",
            "fax_number": "773-253-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLPOINT HOME HEALTH,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "773-732-8790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Munster, IN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.