Provider Demographics
NPI:1477333045
Name:WELLFIT HOME CARE LLC
Entity Type:Organization
Organization Name:WELLFIT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:843-999-8074
Mailing Address - Street 1:235 SEAWORTHY ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-2417
Mailing Address - Country:US
Mailing Address - Phone:910-262-8146
Mailing Address - Fax:803-854-2500
Practice Address - Street 1:111 FLINTLOCK COURT
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:SC
Practice Address - Zip Code:29142
Practice Address - Country:US
Practice Address - Phone:910-262-8146
Practice Address - Fax:803-854-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service