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WAVEBRIDGE ENTERPRISE INC
NPI 1952181232
Custodial Care Facility - Adult Care Home in Crete, IL

Active since October 03, 2023
3494 FAIRWAY DR, CRETE, IL 60417(708) 466-7322 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wavebridge Enterprise Inc NPPES

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

WAVEBRIDGE ENTERPRISE INC (NPI 1952181232), doing business as Wavebridge Senior Care Home, is a healthcare organization registered as an adult care home in Crete, Illinois and active in the NPI registry since October 2023. The organization lists Malik Martiz Barnes, Vice President, as its authorized official.

NPPES Registry Identity

NPI1952181232
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameWAVEBRIDGE ENTERPRISE INC
Location Address3494 FAIRWAY DRCrete, IL 60417-1000
Mailing Address3494 Fairway DrCrete, IL 60417-1000 · (708) 466-7322
Phone(708) 466-7322
Organization SubpartNo
Authorized OfficialMalik Martiz BarnesVice President · (708) 466-7322
Enumeration DateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
✔ NPI 1952181232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
3494 FAIRWAY DR, Crete, IL 60417
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Other Names 1

Doing Business AsWavebridge Senior Care Home

Other Providers at the Same Location NPPES

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

ANTOINETTE JOHNSON HIGH SCHOOL DIPLOMA
Technician
3494 FAIRWAY DR
CRETE, IL 60417
Will County (773) 557-5931

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 Wavebridge Enterprise Inc's NPI number?

The NPI number for Wavebridge Enterprise Inc is 1952181232. It was assigned to this organization in the NPPES registry on October 3, 2023. The provider is doing business as WaveBridge Senior Care Home.

Where is Wavebridge Enterprise Inc located?

Wavebridge Enterprise Inc is located at 3494 Fairway Dr, Crete, IL 60417. The listed phone number is (708) 466-7322.

What is Wavebridge Enterprise Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Wavebridge Enterprise Inc was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.