Provider Demographics
NPI:1265876593
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:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-931-9930
Mailing Address - Street 1:830 W SOUTH BOUNDARY ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5238
Mailing Address - Country:US
Mailing Address - Phone:419-931-9930
Mailing Address - Fax:419-931-9931
Practice Address - Street 1:830 W SOUTH BOUNDARY ST
Practice Address - Street 2:SUITE C
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5238
Practice Address - Country:US
Practice Address - Phone:419-931-9930
Practice Address - Fax:419-931-9931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health