Organization Active NPI

Wellmark Inc

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1295064319
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLMARK INC
Practice address
2820 W Charleston Blvd Ste 37
Las Vegas, NV 89102-1934
Phone
(702) 880-7525
Fax
(702) 880-7055
NPI assigned
Dec 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Mr. Mark C Wells, MPH
Title
President
Phone
(949) 466-6199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2820 W Charleston Blvd Ste 37
Las Vegas, NV 89102-1934

Mailing address

2820 W Charleston Blvd Ste 37
Las Vegas, NV 89102-1934
Phone (702) 880-7525

Other names 1

  • Harmony Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331000708 NV Part A Provider - Home Health Agency 2062548852 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297034

Legal name
WELLMARK INC
Doing business as
HARMONY HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 13, 1990
Last certification
Mar 31, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Dec 23, 2009 in NV
Enrollment address
2820 W Charleston Blvd
Ste 37
Las Vegas, NV 89102-1934

Care Compare: Home health agency

Medicare Care Compare
Listed as
Harmony Home HealthCCN 297034
Ownership
Proprietary
Certified
Aug 13, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2310590Harmony Home Health2820 W Charleston Blvd Ste D-37, Las Vegas, NV 89102Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory
Tax ID family
Global Med Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

820 Rancho Ln
Ste 20
Las Vegas, NV 89106
Phone (702) 880-7525

2820 W Charleston Blvd
Ste 37
Las Vegas, NV 89102
Phone (702) 880-7525

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mark Wells Individual 5% Or Greater Direct Ownership InterestPresident Dec 23, 2009 50%
Corporate OfficerPresident Dec 29, 2009 50%
Corporate DirectorPresident Dec 29, 2009 50%
W-2 Managing EmployeePresident Dec 29, 2009 50%
Operational/Managerial ControlPresident Dec 29, 2009 50%
Annelle Anderson Wells Individual 5% Or Greater Direct Ownership Interest Apr 1, 2015 50%

NPI Registry JSON

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

{
    "created_epoch": "1261180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1295064319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 37",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021934",
            "telephone_number": "702-880-7525",
            "fax_number": "702-880-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W CHARLESTON BLVD STE 37",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021934",
            "telephone_number": "702-880-7525",
            "fax_number": "702-880-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLMARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-19",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-466-6199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.