Provider Demographics
NPI:1386016889
Name:WETTERS AND ASSOCIATES, INC.
Entity Type:Organization
Organization Name:WETTERS AND ASSOCIATES, INC.
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:BOOTH
Authorized Official - Last Name:WETTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-780-9766
Mailing Address - Street 1:133 S BATAVIA AVE
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-3109
Mailing Address - Country:US
Mailing Address - Phone:630-780-9766
Mailing Address - Fax:
Practice Address - Street 1:133 S BATAVIA AVE
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-3109
Practice Address - Country:US
Practice Address - Phone:630-780-9766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000137253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3000137OtherILLINOIS DEPARTMENT OF PUBLIC HEALTH HOME SERVICES LICENSE