Provider Demographics
NPI:1356095319
Name:WHOLESOMENESS HOME HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:WHOLESOMENESS HOME HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADEKUNJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-398-6738
Mailing Address - Street 1:7718 PEACEFUL DELL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-2150
Mailing Address - Country:US
Mailing Address - Phone:240-398-6738
Mailing Address - Fax:
Practice Address - Street 1:7718 PEACEFUL DELL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-2150
Practice Address - Country:US
Practice Address - Phone:240-398-6738
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-09
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health