Provider Demographics
NPI:1710740295
Name:WELLCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:WELLCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEKUNLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEKEYE
Authorized Official - Suffix:
Authorized Official - Credentials:MEMBER
Authorized Official - Phone:973-878-5153
Mailing Address - Street 1:960 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3336
Mailing Address - Country:US
Mailing Address - Phone:973-878-5153
Mailing Address - Fax:
Practice Address - Street 1:960 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3336
Practice Address - Country:US
Practice Address - Phone:973-878-5153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty