Organization Active NPI

Welltrust Home Care LLC

  • Home Health Agency
  • Northfield, OH
National Provider Identifier
1023968062
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLTRUST HOME CARE LLC
Practice address
7354 Forsythia LN
Northfield, OH 44067-2800
Phone
(234) 704-6458
NPI assigned
Jan 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Svetlana Revunova Demidov
Title
Owner
Phone
(234) 704-6458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7354 Forsythia LN
Northfield, OH 44067-2800

Mailing address

8210 Macedonia Commons Blvd
Suite 3B PMB 1080
Macedonia, OH 44056
Phone (234) 704-6458

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1023968062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA COMMONS BLVD",
            "address_2": "SUITE 3B PMB 1080",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "44056",
            "telephone_number": "234-704-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7354 FORSYTHIA LN",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440672800",
            "telephone_number": "234-704-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLTRUST HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "DEMIDOV",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "REVUNOVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "234-704-6458"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.