Organization Active NPI

Wellcare Health Management, Inc.

  • Home Health Agency
  • Melville, NY
National Provider Identifier
1336516350
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WELLCARE HEALTH MANAGEMENT, INC.
Practice address
445 Broadhollow Rd
Suite 25
Melville, NY 11747-3669
Phone
(631) 881-0821
Fax
(866) 863-5865
NPI assigned
Aug 25, 2015
Last updated
Jun 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Mr. Hang Guo
Title
Ceo
Phone
(631) 881-0821

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

445 Broadhollow Rd
Suite 25
Melville, NY 11747-3669

Mailing address

445 Broadhollow Rd
Suite 25
Melville, NY 11747-3669
Phone (631) 881-0821

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1336516350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD",
            "address_2": "SUITE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473669",
            "telephone_number": "631-881-0821",
            "fax_number": "866-863-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 BROADHOLLOW RD",
            "address_2": "SUITE 25",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473669",
            "telephone_number": "631-881-0821",
            "fax_number": "866-863-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-25",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "HANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-881-0821",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.