Provider Demographics
NPI:1518726785
Name:WELLCARE BY RN LLC
Entity Type:Organization
Organization Name:WELLCARE BY RN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:NERELUS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-315-1227
Mailing Address - Street 1:2328 10TH AVE N STE 503
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6615
Mailing Address - Country:US
Mailing Address - Phone:561-315-1227
Mailing Address - Fax:
Practice Address - Street 1:2328 10TH AVE N STE 503
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33461-6615
Practice Address - Country:US
Practice Address - Phone:561-315-1227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health