Provider Demographics
NPI:1801040340
Name:WELLNESS HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:WELLNESS HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:EGBOCHUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-412-3846
Mailing Address - Street 1:2111 BOULDER RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-5084
Mailing Address - Country:US
Mailing Address - Phone:817-412-3846
Mailing Address - Fax:
Practice Address - Street 1:2111 BOULDER RIDGE TRL
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-5084
Practice Address - Country:US
Practice Address - Phone:817-412-3846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health