Wellness Adult Day Healthcare, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

898 Issued in MO

Legal business name

WELLNESS ADULT DAY HEALTHCARE, LLC

Doing business as

Wellness Adult Day Healthcare

Practice address

370 S Odell Ave
Marshall, MO 65340-2119

Phone

(660) 886-9000

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Naseem Inderias

Title

Owner

Phone

(660) 886-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wellness Adult Day Healthcare Doing business as

Locations

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1245544386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S ODELL AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402119",
            "telephone_number": "660-886-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S ODELL AVE",
            "city": "MARSHALL",
            "state": "MO",
            "postal_code": "653402119",
            "telephone_number": "660-886-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ADULT DAY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "INDERIAS",
        "authorized_official_first_name": "NASEEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-886-9000"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MO",
            "license": "898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY CARE PROGRAM",
            "identifier": "898",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Adult Day Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ward, CPT 1
• Elizabeth Gayle Watring
• Ashley Suzane Weaver, PHARMD
• Tiffany Webb, MS, ATC, LAT
• Diane Marie Weinreich, APRN, FNP-BC
• Christina Ann Williams, NP-C
• Claire Marguerite Winning
• Haley Marie Wiskur, M.S CF-SLP
• Bailey Danielle Worstell, M.S., CF-SLP
• Wright Dental LLC (Marshall Dental Care)

• Adult Day Care Clinic/Center in Marshall, MO
• Providers in Marshall, MO by specialty
• Adult Day Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.