Provider Demographics
NPI:1396995627
Name:WELLCARE GROUP HOME HEALTH INC.
Entity type:Organization
Organization Name:WELLCARE GROUP HOME HEALTH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGWAIFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-597-6665
Mailing Address - Street 1:5117 HEARTHCREST DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044
Mailing Address - Country:US
Mailing Address - Phone:214-597-6665
Mailing Address - Fax:972-496-0391
Practice Address - Street 1:5117 HEARTHCREST DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044
Practice Address - Country:US
Practice Address - Phone:214-597-6665
Practice Address - Fax:972-496-0391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility