WELLHOUSE CARE INC. NPI 1548535370

NPI Information

NPI: 1548535370
Provider Name: WELLHOUSE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2055672

Address:
11354 MOUNTAIN VIEW AVE
SUITE D
LOMA LINDA, CA
ZIP 92354
Phone: (951) 237-3949
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WELLHOUSE CARE, INC. is a hospice care community based in Loma Linda, CA. WELLHOUSE CARE, INC. NPI is 1548535370. The provider is registered as an organization entity type.

The provider's business location address is:

11354 MOUNTAIN VIEW AVE
SUITE D
LOMA LINDA, CA
ZIP 92354-855
Phone: (951) 237-3949

The provider's authorized official is Genesis Punzalan .
The authorized official title is Administrator, Ceo and has the following contact phone number (951) 237-3949.

The CLIA number assigned to this NPI record is 05D2055672 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2012 and was last updated on 3/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based			CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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