Provider Demographics
NPI:1801645908
Name:WELLNESS HOMES
Entity type:Organization
Organization Name:WELLNESS HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-303-5647
Mailing Address - Street 1:16030 KILDEER POINT DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-2383
Mailing Address - Country:US
Mailing Address - Phone:346-303-5647
Mailing Address - Fax:
Practice Address - Street 1:16030 KILDEER POINT DR
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-2383
Practice Address - Country:US
Practice Address - Phone:346-303-5647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty