Provider Demographics
NPI:1013326578
Name:WELLLOVED INC.
Entity Type:Organization
Organization Name:WELLLOVED INC.
Other - Org Name:ACTI-KARE RESPONSIVE IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK-YOON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-889-6604
Mailing Address - Street 1:1212 W WASHINGTON AVE
Mailing Address - Street 2:APT #7
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6900
Mailing Address - Country:US
Mailing Address - Phone:650-889-6604
Mailing Address - Fax:650-332-3996
Practice Address - Street 1:1212 W WASHINGTON AVE
Practice Address - Street 2:APT #7
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6900
Practice Address - Country:US
Practice Address - Phone:650-889-6604
Practice Address - Fax:650-332-3996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-09
Last Update Date:2014-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care