Provider Demographics
NPI:1578038089
Name:WELLNESS HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:WELLNESS HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NASRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-666-9173
Mailing Address - Street 1:7043 LITTLE THAMES DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-4010
Mailing Address - Country:US
Mailing Address - Phone:703-666-9173
Mailing Address - Fax:703-766-1521
Practice Address - Street 1:7043 LITTLE THAMES DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-4010
Practice Address - Country:US
Practice Address - Phone:703-666-9173
Practice Address - Fax:703-766-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-11
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health