Provider Demographics
NPI:1821647165
Name:WELLNESS HOME HEALTH INC
Entity Type:Organization
Organization Name:WELLNESS HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHITEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-281-7946
Mailing Address - Street 1:650 HOBSON WAY STE 103
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-6710
Mailing Address - Country:US
Mailing Address - Phone:805-900-6010
Mailing Address - Fax:805-900-6011
Practice Address - Street 1:299 W HILLCREST DR STE 104
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-7822
Practice Address - Country:US
Practice Address - Phone:805-900-6010
Practice Address - Fax:805-900-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health