Provider Demographics
NPI:1083217376
Name:WAY MAKER HOME CARE INC.
Entity Type:Organization
Organization Name:WAY MAKER HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WINIGELDA
Authorized Official - Middle Name:BALOR
Authorized Official - Last Name:OGLETREE
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:661-900-0149
Mailing Address - Street 1:5800 WINTER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-2701
Mailing Address - Country:US
Mailing Address - Phone:661-473-1112
Mailing Address - Fax:
Practice Address - Street 1:5800 WINTER RIDGE DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2701
Practice Address - Country:US
Practice Address - Phone:661-473-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility