Provider Demographics
NPI:1285002303
Name:WELLWORTH HOMECARE SERVICES INC.
Entity Type:Organization
Organization Name:WELLWORTH HOMECARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGEMA-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:978-804-2390
Mailing Address - Street 1:2 COURTHOUSE LN UNIT 8R
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-1717
Mailing Address - Country:US
Mailing Address - Phone:978-804-2390
Mailing Address - Fax:
Practice Address - Street 1:2 COURTHOUSE LN UNIT 8R
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-1717
Practice Address - Country:US
Practice Address - Phone:978-804-2390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-05
Last Update Date:2015-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health