Wellcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WELLCARE, LLC

Practice address

5100 Poplar Ave Ste 2712
Memphis, TN 38137-4000

Phone

(901) 708-7177

NPI assigned

Jan 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samerah JohnsNPI 1003394388

Title

Director

Phone

(901) 871-6208

Specialties & licenses 1

Addresses

Other names 2

• WELLCARE HEALTH SERVICES Doing business as
• WELLCARE HOME HEALTH SERVICES Doing business as

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samerah Johns, LPN

  • Licensed Practical Nurse
  • Roswell, GA
  • NPI 1003394388
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1003686759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE STE 2712",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "901-708-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE STE 2712",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "901-708-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "SAMERAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-871-6208"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLCARE HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WELLCARE HOME HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wellness Ambulatory Care Inc.

• All providers in Memphis, TN
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.