WELLPOINT HOME HEALTH,INC. (NPI# 1073867784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073867784 |
| Entity Type | Organization |
| Organization Name | WELLPOINT HOME HEALTH,INC. |
| Practice Address |
10912 S Western Ave Suite 4 N Chicago IL 60643-3205 |
| Practice Telephone | 7732539190 |
| Practice Fax Number | 7732539961 |
| Mailing Telephone | 7732539190 |
| Mailing Fax Number | 7732539961 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2012-11-01 |
| Authorized Official Name | MRS. TRACY MCKENZIE (PRESIDENT/CEO) |
| Authorized Official Telephone | 7737328790 |
| Authorized Official Credential | RN,BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1011534 | IL | Agencies |
| Street Address |
10912 S WESTERN AVE SUITE 4 N |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1457962144 | Anuco Home Health Care LLC | Home Health | 17 N Leclaire Ave Apt 2w, Chicago, IL 60644-4104 | 2020-08-14 |
| 1811507361 | Potential Unlimited LLC | Home Health | 5140 N Oakley Ave, Chicago, IL 60625-1847 | 2020-08-08 |
| 1275143166 | Pure Touch Home Health LLC | Home Health | 2059 W 82nd St, Chicago, IL 60620-5343 | 2020-08-05 |
| 1316565773 | Global Heritage Home Healthcare, Inc | Home Health | 6630 N Campbell Ave Unit 1, Chicago, IL 60645-5019 | 2020-07-10 |
| 1740803394 | Conrad Care Incorporated | Home Health | 142 W . 62nd Street, Suite 203, Chicago, IL 60621 | 2020-05-18 |
| 1588293633 | Stellar Home Network | Home Health | 3530 W Peterson Ave Ste 101, Chicago, IL 60659-3294 | 2020-04-01 |
| 1518599406 | Illuminate Touch LLC | Home Health | 1109 S Mason Ave, Chicago, IL 60644-5341 | 2020-02-07 |
| 1134764137 | Wholistic Home Health Care LLC | Home Health | 6854 S Perry Ave, Chicago, IL 60621-3799 | 2019-11-13 |
| 1346884863 | Virtue Home Care | Home Health | 3924 W North Ave, Chicago, IL 60647-4618 | 2019-10-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.