Wellness Care Center LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12626 Issued in FL

Legal business name

WELLNESS CARE CENTER LLC

Practice address

17633 Meadowbridge Dr
Lutz, FL 33549-5574

Phone

(857) 234-0830

Fax

(813) 232-2127

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. David Oluwasola Aina

Title

Program Director

Phone

(857) 234-0830

Specialties & licenses 1

Addresses

Other names 1

• Wellswood Care Center II Doing business as

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1114390101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17633 MEADOWBRIDGE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495574",
            "telephone_number": "857-234-0830",
            "fax_number": "813-232-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17633 MEADOWBRIDGE DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335495574",
            "telephone_number": "857-234-0830",
            "fax_number": "813-232-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "AINA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "OLUWASOLA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "857-234-0830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellswood Care Center II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Dawn Weber, OTD, OTR/L
• Richard Bruce Weinberg, PH.D
• Katherine Weisenmiller
• Stephen Ward Welden, M.D.
• Yabsera Weldeyohannes
• Stephanie Wells
• Wesley Chapel Smiles Dentistry, PA
• West Coast Dental Partners
• West Coast Dental Partners
• Westchase Physical Therapy & Medical Supply, LLC

• All providers in Lutz, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.