Organization Active NPI

Vwell West, Inc.

  • Home Health Agency
  • Naperville, IL
National Provider Identifier
1639333016
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA4404 Issued in AZ
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
147806OtherILMEDICARE PROVIDER NUMBER

Other names 1

  • Vital Wellness Doing business as

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.

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.

Verify at the official NPI Registry.