Provider Demographics
NPI:1639851041
Name:WELBEHEALTH INLAND EMPIRE PACE, LLC
Entity Type:Organization
Organization Name:WELBEHEALTH INLAND EMPIRE PACE, LLC
Other - Org Name:WELBEHEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:THIRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-444-5224
Mailing Address - Street 1:440 N BARRANCA AVE # 4051
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1722
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2799 GATEWAY DRIVE
Practice Address - Street 2:SUITES 100 & 200
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507
Practice Address - Country:US
Practice Address - Phone:915-444-5224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-04
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization