Provider Demographics
NPI:1548573058
Name:WELLNESS WORKS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:WELLNESS WORKS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:RANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PELED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-760-0501
Mailing Address - Street 1:6400 LAUREL CANYON BLVD STE 640
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1572
Mailing Address - Country:US
Mailing Address - Phone:818-760-0501
Mailing Address - Fax:818-763-3890
Practice Address - Street 1:6400 LAUREL CANYON BLVD STE 640
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1572
Practice Address - Country:US
Practice Address - Phone:818-760-0501
Practice Address - Fax:818-763-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health