Provider Demographics
NPI:1609344357
Name:WELLINGTON HEALTH AND HOME CARE, LLC
Entity Type:Organization
Organization Name:WELLINGTON HEALTH AND HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEHOSHAPHAT
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARDEY-WELLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-701-2157
Mailing Address - Street 1:21 FRED DOLAN CIR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2855
Mailing Address - Country:US
Mailing Address - Phone:857-701-2157
Mailing Address - Fax:
Practice Address - Street 1:21 FRED DOLAN CIR
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2855
Practice Address - Country:US
Practice Address - Phone:857-701-2157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-10
Last Update Date:2018-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health