Provider Demographics
NPI:1811784846
Name:WELLNESS HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:WELLNESS HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-558-4488
Mailing Address - Street 1:5881 NW 151ST ST STE 217
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2456
Mailing Address - Country:US
Mailing Address - Phone:786-558-4488
Mailing Address - Fax:786-558-4359
Practice Address - Street 1:5881 NW 151ST ST STE 217
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2456
Practice Address - Country:US
Practice Address - Phone:786-558-4488
Practice Address - Fax:786-558-4359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health