Provider Demographics
NPI:1457141970
Name:WELLNESS WHEELS TRANSPORTATION LLC
Entity type:Organization
Organization Name:WELLNESS WHEELS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:NARUE
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:443-693-2348
Mailing Address - Street 1:9900 POPLAR TENT RD STE 115 PMB 3014
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027
Mailing Address - Country:US
Mailing Address - Phone:980-549-2436
Mailing Address - Fax:
Practice Address - Street 1:9900 POPLAR TENT RD STE 115 PMB 3014
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027
Practice Address - Country:US
Practice Address - Phone:980-549-2436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)