Healthcare Provider Details

I. General information

NPI: 1043972573
Provider Name (Legal Business Name): FEELWELL HOME HEALTHCARE & STAFFING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2021
Last Update Date: 12/18/2024
Certification Date: 12/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 S NORTHWEST HWY STE 300
PARK RIDGE IL
60068-4262
US

IV. Provider business mailing address

350 S NORTHWEST HWY STE 300
PARK RIDGE IL
60068-4262
US

V. Phone/Fax

Practice location:
  • Phone: 847-232-0330
  • Fax: 847-557-4040
Mailing address:
  • Phone: 847-232-0330
  • Fax: 847-557-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. NADOU STELLA LAWSON
Title or Position: GENERAL MANAGER
Credential: MANAGER
Phone: 773-754-9692