Active NPI
Vwell West, Inc.
- Home Health Agency
- Naperville, IL
National Provider Identifier
1639333016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA4404
- Legal business name
- VWELL WEST, INC.
- Practice address
- 1601 Bond St
Suite 210
Naperville, IL 60563 - Phone
- (888) 258-9355
- Fax
- (630) 369-6984
- NPI assigned
- Jul 15, 2008
- Organization subpart
- Yes
- Parent organization
- VITAL WELLNESS HOME HEALTH, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Allan Dennis Rosales
- Title
- Clinical Operations Executive
- Phone
- (312) 989-9260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA4404 | AZ | Primary |
Addresses
Primary practice location
1601 Bond St
Suite 210
Naperville, IL 60563
Mailing address
1717 Howard St
Evanston, IL 60202-3735
Phone (888) 258-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147806 | Other | IL | MEDICARE PROVIDER NUMBER |
Other names 1
- Vital Wellness
National Provider Directory
National Provider Directory- Part of
- Vital Wellness Healthcare Inc
Locations
1601 Bond St
Ste 210
Naperville, IL 60563
Phone (630) 369-8450
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Home Health Agency
- Springfield, IL
- NPI 1467937243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535500800000",
"number": "1639333016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023735",
"telephone_number": "888-258-9355",
"fax_number": "630-369-6984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 BOND ST",
"address_2": "SUITE 210",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60563",
"telephone_number": "888-258-9355",
"fax_number": "630-369-6984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VWELL WEST, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VITAL WELLNESS HOME HEALTH, INC.",
"enumeration_date": "2008-07-15",
"last_updated": "2018-08-29",
"status": "A",
"authorized_official_last_name": "ROSALES",
"authorized_official_first_name": "ALLAN",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "CLINICAL OPERATIONS EXECUTIVE",
"authorized_official_telephone_number": "312-989-9260",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AZ",
"license": "HHA4404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "147806",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vital Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vital Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.