Provider Demographics
NPI:1003083999
Name:WELLNESS HOME HEALTH CARE
Entity Type:Organization
Organization Name:WELLNESS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAMZA
Authorized Official - Middle Name:BUSHRA
Authorized Official - Last Name:ADEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-483-4849
Mailing Address - Street 1:2800 UNIVERSITY AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3232
Mailing Address - Country:US
Mailing Address - Phone:612-483-4849
Mailing Address - Fax:612-331-9511
Practice Address - Street 1:2800 UNIVERSITY AVE SE
Practice Address - Street 2:SUITE 200
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3232
Practice Address - Country:US
Practice Address - Phone:612-483-4849
Practice Address - Fax:612-331-9511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-10
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health