NPIMap

Organization Active NPI

Advocate Wellness LLC.

  • In Home Supportive Care Agency
  • Roselle, IL
National Provider Identifier
1972055911
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3001045 Issued in IL
Legal business name
ADVOCATE WELLNESS LLC.
Practice address
400 Lake St
Suite 307
Roselle, IL 60172-3574
Phone
(312) 620-0006
Fax
(630) 984-4772
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Marquita Carlos, RN
Title
Agency Manager
Phone
(312) 620-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3001045 IL Primary

Addresses

Primary practice location

400 Lake St
Suite 307
Roselle, IL 60172-3574

Mailing address

400 Lake St
Suite 307
Roselle, IL 60172-3574
Phone (312) 620-0006

National Provider Directory

National Provider Directory

Locations

400 Lake St
Ste 307
Roselle, IL 60172
Phone (312) 620-0006

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1972055911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAKE ST",
            "address_2": "SUITE 307",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723574",
            "telephone_number": "312-620-0006",
            "fax_number": "630-984-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAKE ST",
            "address_2": "SUITE 307",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601723574",
            "telephone_number": "312-620-0006",
            "fax_number": "630-984-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE WELLNESS LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_title_or_position": "AGENCY MANAGER",
        "authorized_official_telephone_number": "312-620-0006",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3001045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.