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WELLBOUND ILLINOIS LLC
NPI 1104781640
Home Health in Park Ridge, IL

Active since December 17, 2025CLIA Certified · 2 labs
1420 RENAISSANCE DR STE 400, PARK RIDGE, IL 60068(718) 400-9355 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellbound Illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLBOUND ILLINOIS LLC (NPI 1104781640) is a healthcare organization registered as a home health in Park Ridge, Illinois and active in the NPI registry since December 2025. The organization holds 2 active CLIA laboratory certificates and lists Adam Yanofsky, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104781640
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameWELLBOUND ILLINOIS LLC
Location Address1420 RENAISSANCE DR STE 400Park Ridge, IL 60068-1345
Mailing Address7424 13th AveBrooklyn, NY 11228-2021
Phone(718) 400-9355
Organization SubpartNo
Authorized OfficialAdam YanofskyCeo · (718) 400-9355
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 17, 2025
✔ NPI 1104781640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1420 RENAISSANCE DR STE 400, Park Ridge, IL 60068
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CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2073617

Wellbound LLC · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2073617
Laboratory TypeHome Health Agency
Certificate Effective DateFebruary 21, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Durar Nidhi
Laboratory Phone(718) 400-9355
Laboratory LocationWellbound LLC7424 13th Ave, Brooklyn, NY 11228
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2288351

Wellbound II LLC · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2288351
Laboratory TypeHome Health Agency
Certificate Effective DateAugust 24, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Maria P. Noya
Laboratory Phone(929) 277-0205
Laboratory LocationWellbound II LLC7424 13th Ave, Brooklyn, NY 11228
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE DIMITRV ZDRAVKOV M.D.
Specialist/Technologist, Other
1420 RENAISSANCE DR STE 400
PARK RIDGE, IL 60068
Cook County (847) 207-8593
WELLBOUND ILLINOIS LLC
Home Health
1420 RENAISSANCE DR STE 400
PARK RIDGE, IL 60068
Cook County (708) 737-7835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellbound Illinois LLC's NPI number?

The NPI number for Wellbound Illinois LLC is 1104781640. It was assigned to this organization in the NPPES registry on December 17, 2025.

Where is Wellbound Illinois LLC located?

Wellbound Illinois LLC is located at 1420 Renaissance Dr Ste 400, Park Ridge, IL 60068. The listed phone number is (718) 400-9355.

What is Wellbound Illinois LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Wellbound Illinois LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wellbound Illinois LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.