Provider Demographics
NPI:1407464720
Name:WELLNESS HOME CARE SERVICE LLC
Entity Type:Organization
Organization Name:WELLNESS HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMER
Authorized Official - Middle Name:
Authorized Official - Last Name:DAHCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-822-0966
Mailing Address - Street 1:7849 ADARE CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7428
Mailing Address - Country:US
Mailing Address - Phone:614-822-0966
Mailing Address - Fax:
Practice Address - Street 1:7849 ADARE CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7428
Practice Address - Country:US
Practice Address - Phone:614-822-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty