Organization Active NPI

Wellcare Dialysis Center,LLC

  • Hemodialysis Registered Nurse
  • Boynton Beach, FL
National Provider Identifier
1174232011
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hemodialysis Registered NurseTaxonomy code 163WH0500X
Legal business name
WELLCARE DIALYSIS CENTER,LLC
Practice address
4589 Purdue Dr
Boynton Beach, FL 33436-7715
Phone
(561) 315-1227
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Mrs. Emmanuella Bazilme Nerelus, RNNPI 1538877949
Title
Owner
Phone
(561) 315-1227

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
Hemodialysis Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0500X Primary

Addresses

Primary practice location

4589 Purdue Dr
Boynton Beach, FL 33436-7715

Mailing address

4589 Purdue Dr
Boynton Beach, FL 33436-7715
Phone (561) 315-1227

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": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1174232011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 PURDUE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367715",
            "telephone_number": "561-315-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 PURDUE DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367715",
            "telephone_number": "561-315-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE DIALYSIS CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "NERELUS",
        "authorized_official_first_name": "EMMANUELLA",
        "authorized_official_middle_name": "BAZILME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-315-1227",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.