Provider Demographics
NPI:1750064424
Name:WELLNESS-AT-HOME
Entity type:Organization
Organization Name:WELLNESS-AT-HOME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARJORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE JEROME
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN, PMH-BC
Authorized Official - Phone:732-610-4998
Mailing Address - Street 1:1806 HWY 35 STE 205E
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2759
Mailing Address - Country:US
Mailing Address - Phone:732-610-4998
Mailing Address - Fax:
Practice Address - Street 1:1806 HWY 35 STE 205E
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2759
Practice Address - Country:US
Practice Address - Phone:732-610-4998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Yes251J00000XAgenciesNursing Care
No347C00000XTransportation ServicesPrivate Vehicle
No251F00000XAgenciesHome Infusion