Provider Demographics
NPI:1235027418
Name:WOUND CARE AT HOME LLC
Entity type:Organization
Organization Name:WOUND CARE AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NARWILITO
Authorized Official - Middle Name:
Authorized Official - Last Name:ABISTADO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:312-929-7785
Mailing Address - Street 1:9933 LAWLER AVE STE 442
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3703
Mailing Address - Country:US
Mailing Address - Phone:312-929-7785
Mailing Address - Fax:
Practice Address - Street 1:9933 LAWLER AVE STE 442
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3703
Practice Address - Country:US
Practice Address - Phone:312-929-7785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health