Active NPI
Wellfort LLC
- Home Health Registered Nurse
- Gainesville, FL
National Provider Identifier
1225747629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- WELLFORT LLC
- Doing business as
- Wellfort Healthcare
- Practice address
- 2049 NE 15TH Ter
Gainesville, FL 32609-3978 - Phone
- (352) 359-6726
- NPI assigned
- Nov 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marquis Richards, RN
- Title
- Authorized Representative
- Phone
- (352) 359-6726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
2049 NE 15TH Ter
Gainesville, FL 32609-3978
Mailing address
5764 N Orange Blossom TRL
Orlando, FL 32810-1023
Other names 1
- Wellfort Healthcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668470400000",
"number": "1225747629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5764 N ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328101023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2049 NE 15TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093978",
"telephone_number": "352-359-6726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLFORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-15",
"last_updated": "2022-11-15",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "RICHARDS",
"authorized_official_first_name": "MARQUIS",
"authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
"authorized_official_telephone_number": "352-359-6726",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellfort Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.