Provider Demographics
NPI:1255072682
Name:WELLNESS HOME HEALTH, LLC
Entity type:Organization
Organization Name:WELLNESS HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-348-5330
Mailing Address - Street 1:518 OREGANO ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-7428
Mailing Address - Country:US
Mailing Address - Phone:956-578-2249
Mailing Address - Fax:
Practice Address - Street 1:214 W CANO ST
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-4324
Practice Address - Country:US
Practice Address - Phone:956-348-5330
Practice Address - Fax:956-348-5334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-07
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHHS000004901997Medicaid
TX1639828247OtherJESSICA RAMIREZ