Organization Active NPI

Wellness LLC

  • In Home Supportive Care Agency
  • White Salmon, WA
National Provider Identifier
1134866635
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
WELLNESS LLC
Practice address
460 NE Cherry St
White Salmon, WA 98672-1300
Phone
(509) 493-1084
Fax
(509) 493-0058
NPI assigned
May 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
John Njoroge Nginyayu, OWNERNPI 1598493165
Title
Owner
Phone
(978) 328-7141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

460 NE Cherry St
White Salmon, WA 98672-1300

Mailing address

PO Box 376
White Salmon, WA 98672-0376
Phone (509) 493-1084

Other identifiers 2

IdentifierTypeStateIssuer
604-748-548OtherWAUBI
2182948MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1134866635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986720376",
            "telephone_number": "509-493-1084",
            "fax_number": "509-493-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 NE CHERRY ST",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "986721300",
            "telephone_number": "509-493-1084",
            "fax_number": "509-493-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "NGINYAYU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NJOROGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-328-7141",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "604-748-548",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2182948",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Salmon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; 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.