Provider Demographics
NPI:1982985297
Name:WELL BEING HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:WELL BEING HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBUUKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-771-1800
Mailing Address - Street 1:975 N MAIN ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-7064
Mailing Address - Country:US
Mailing Address - Phone:815-963-2926
Mailing Address - Fax:
Practice Address - Street 1:975 N MAIN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-7064
Practice Address - Country:US
Practice Address - Phone:815-963-2926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health