Provider Demographics
NPI:1821341538
Name:WELLSBROOKE CERTIFIED HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:WELLSBROOKE CERTIFIED HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:MELNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-507-5117
Mailing Address - Street 1:1401 EAST LANSING DR
Mailing Address - Street 2:STE 106
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-2988
Mailing Address - Country:US
Mailing Address - Phone:517-507-5117
Mailing Address - Fax:734-468-1223
Practice Address - Street 1:1401 EAST LANSING DR
Practice Address - Street 2:STE 106
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2988
Practice Address - Country:US
Practice Address - Phone:517-507-5117
Practice Address - Fax:734-468-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health