Well Trevi Carlotta SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WELL TREVI CARLOTTA SNF LLC

Practice address

41505 Carlotta Dr
Palm Desert, CA 92211-3279

Phone

(760) 345-5420

NPI assigned

Jan 3, 2022

Organization subpart

No

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

Authorized official

Name

Mary Ellen Pisanelli

Title

Authorized Representative

Phone

(419) 247-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1093476905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 DORR ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41505 CARLOTTA DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922113279",
            "telephone_number": "760-345-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL TREVI CARLOTTA SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "PISANELLI",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "419-247-2800"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailee K Watson, O.D.
• Lawrence Charles Watson, OD
• Ben Stuart Wehrli, DPM
• Jessica Weigand, M.S., CCC-SLP
• Weissman & Stone Med GRP, Inc., a Professinal Corporation
• Welltrust Home Health Care
• West Coast Surgery Inc
• Matthew Wettlaufer, PH.D
• Natalie M Whang, DDS
• Elizabeth Whittet, OTR/L

• Skilled Nursing Facility in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.