Provider Demographics
NPI:1851957153
Name:CARING HANDS WELLNESS, LLC
Entity Type:Organization
Organization Name:CARING HANDS WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:ADEBOMI
Authorized Official - Middle Name:TEMITOPE
Authorized Official - Last Name:ADENIJI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-374-3203
Mailing Address - Street 1:837 HAMLIN AVE
Mailing Address - Street 2:
Mailing Address - City:FLOSSMOOR
Mailing Address - State:IL
Mailing Address - Zip Code:60422-1045
Mailing Address - Country:US
Mailing Address - Phone:708-374-3203
Mailing Address - Fax:773-664-0747
Practice Address - Street 1:837 HAMLIN AVE
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-1045
Practice Address - Country:US
Practice Address - Phone:708-374-3203
Practice Address - Fax:773-664-0747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1023365699Medicaid